摘要
目的观察应用20 mL注射器抽吸法行腹腔镜经脐单部位双孔疝囊高位结扎术的临床疗效。方法随机选取兰州大学第一医院小儿外科2017年5月—2018年5月应用20 mL注射器抽吸法行腹腔镜经脐单部位双孔疝囊高位结扎治疗小儿腹股沟疝216例患儿的临床资料,作为腹腔镜组;随机选取兰州大学第一医院小儿外科既往2012年1月—2013年1月开放式手术治疗小儿腹股沟疝200例患儿的临床资料,作为开放组。分析比较2组间年龄、性别、手术时间、出血量、术后住院天数、住院费用及并发症。结果腹腔镜组在年龄、性别、术后住院时间与开放组比较,差异无统计学意义(P>0.05)。腹腔镜组在手术时间、术中出血量、并发症与开放组相比,差异有统计学意义(P<0.05)。结论应用20mL注射器抽吸法行腹腔镜经脐单部位双孔疝囊高位结扎治疗小儿斜疝,具有手术时间短、出血量少、术后恢复快、外观美观等优势,在治疗小儿腹股沟疝中疗效安全可靠,值得推广。
Objective To observe the clinical efficacy of laparoscopic transsacral single-site double-port method for high ligation of the hernia sac with 20 mL syringe suction method.Methods The clinical data of 216 children with inguinal hernia treated by laparoscopic transsacral single-site double-port method for high ligation of hernia sac with 20 mL syringe suction method from May 2017 to May 2018 in Department of Pediatric Surgery of the First Hospital of Lanzhou University were randomly selected as laparoscopic surgery group.The clinical data of 200 children with open inguinal hernia in the pediatric surgery of the First Hospital of Lanzhou University from January 2012 to January 2013 were used as open surgery group.The age,sex,operation time,blood loss,postoperative hospital stay,hospitalization costs and complications were compared between the two groups.Results There were no significant differences in age,sex and postoperative hospital stay between the two groups(P>0.05).In the laparoscopic surgery group,the operation time,intraoperative blood loss,and complications were significantly superior to the open surgery group,and the difference was statistically significant(P<0.05).Conclusion The application of 20 mL syringe suction method for laparoscopic percutaneous umbilical single-site double-port hernia sac ligation for the treatment of pediatric oblique sputum has the advantages of short operation time,less bleeding,quick recovery and beautiful appearance,in the treatment of pediatric inguinal hernia.The effect is safe and reliable,has applicability.
作者
陈洲
裴薇
高明太
刘登瑞
Chen Zhou;Pei Wei;Gao Ming-tai;Liu Deng-rui(Department of Pediatric Surgery,The First Hospital of Lanzhou University,Lanzhou 730000,China)
出处
《兰州大学学报（医学版）》
CAS
2019年第6期1-5,共5页
Journal of Lanzhou University（Medical Sciences）
基金
兰州大学临床基础研究项目(ldyyyn 2018-46).
关键词
腹股沟疝
腹腔镜
注射器
儿童
inguinal hernia
laparoscopy
syringe
children
