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目的 探讨腹腔镜手术在治疗小儿腰疝治疗中的安全性、可行性及优越性.方法 本组9例小儿腰疝患儿,男4例,女5例;年龄1岁6个月至10岁,平均年龄4岁;7例发生于腰下三角,2例发生于腰上三角.6例发生于左侧腰部,3例发生于右侧腰部.均采用腹腔镜微创手术,行腹腔镜下腰疝修补术.结果 本组9例患儿均成功完成腹腔镜手术,手术顺利,无术中大出血、无术中及术后输血、无意外损伤及围手术期死亡病例发生.手术效果好,治愈出院.平均住院时间5d.术后随访1～8年,无明显远、近期并发症发生.结论 腹腔镜手术是治疗小儿腰疝的安全、可靠的方法,具有创伤小,恢复快,美容效果满意等优势,值得临床推广.“,”Objective To explore the safety,feasibility and superiority of laparoscopy for lumbar hernia in children.Methods There were 4 boys and 5 girls with an average age of 4(1.5-10) years.The location of lumbar hernia was in lower lumbar triangle (n =7) and upper lumbar triangle (n =2).And the involved waist was left (n=6) and right (n=3).Laparoscopic rnini-invasive herniorrhaphy was performed.Results All laparoscopic procedures were successful and curative.There was no onset of intraoperative massive hemorrhage,intraoperative or postoperative blood transfusion,unintentional injury or perioperative death.The average hospitalization stay was 5 days.During a follow-up period of 1-8 years,there was no onset of short/long-term complications.Conclusions Laparoscopy is both safe and reliable for treating lumbar hernia in children.W1th the advantages of minimal trauma,rapid recovery and satisfactory cosmetics,it is worthy of wider clinical promotions.