探讨双疝针法在单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果。

回顾性分析2019年10月至2021年9月陕西省铜川市人民医院小儿腹股沟斜疝患者307例资料，依手术方法分为双疝针组及常规组。双疝针组患儿行双疝针法单孔腹腔镜疝囊高位结扎术，158例；常规组行常规单孔腹腔镜疝囊高位结扎术，149例。记录并比较2组患者手术时间、出血量、手术并发症及术后6个月内复发率。

2组术中出血量均较少（<10 ml），差异无统计学意义。平均手术时间：双疝针组（8.07±2.51）min明显短于常规组（18.12±7.91）min，差异有统计学意义（P<0.05）；手术并发症发生率：双疝针组1.89%（3/158）较常规组2.68%（4/149），差异无统计学意义（P>0.05）；术后6个月内疝复发率：双疝针组0.63%（1/158）较常规组1.34%（2/149），差异无统计学意义（P>0.05）。所有患者术后随访6个月，无严重并发症及死亡发生。

双疝针手术相对于常规单孔腹腔镜疝囊高位结扎术，操作简单，可明显缩短手术时间，手术安全有效。

To investigate the clinical effect of the double hernia needle method in single hole laparoscopic high ligation of the hernia sac for indirect inguinal hernia in children.

The data of 307 children with indirect inguinal hernias at Shanxi Tongchuan People's Hospital from October 2019 to September 2021 were analyzed retrospectively. They were divided into two groups according to the surgical methods: the double hernia needle group and the routine group. In the double hernia needle group, 158 children were treated with single hole laparoscopic high ligation of the hernia sac; in the conventional group, 149 cases were treated with conventional single port laparoscopic high ligation of the hernia sac. The operation time, blood loss, operation complications and recurrence rate within 6 months after the operation were recorded and compared between the two groups.

There was no significant difference between the two groups in the amount of intraoperative bleeding (<10 ml). Mean operation time (8.07±2.51) min in the double hernia needle group was significantly shorter than (18.12±7.91) min in the conventional group (P<0.05); the incidence of surgical complications: 1.89% (3/158) in the double hernia needle group had no significant difference compared with 2.68% (4/149) in the conventional group (P>0.05); the recurrence rate of hernia within 6 months after operation: 0.63% (1/158) in the double hernia needle group was higher than 1.34% (2/149) in the conventional group, with no significant difference (P>0.05). All patients were followed up for 6 months without serious complications or death.

When compared to traditional single-hole laparoscopic high hernia sac ligation, double hernia needle surgery is simple, reduces operation time, and is safe and effective. It is worth applying for and promoting.