摘要
目的探讨急诊腹腔镜疝囊高位结扎术治疗小儿腹股沟嵌顿性斜疝的临床应用价值。方法回顾性分析2008年1月-2011年12月32例腹腔镜治疗小儿嵌顿疝资料,并与同期随机抽取的32例传统手术资料进行对比分析。结果腹腔镜组手术时间(41.00±6.97)min,传统组手术时间(46.53±7.92)min;腹腔镜组住院时间(2.53±0.88)d,传统组住院时间(5.03±1.09)d;随访腹腔镜手术组无缺血性睾丸炎及术后复发,传统手术组1例缺血性睾丸炎及2例术后复发。腹腔镜手术组与传统手术组在住院费用、缺血性睾丸炎发生率及术后复发率差别无统计学意义(P>0.05),而腹腔镜手术组手术时间及住院时间均显著低于传统手术组(P<0.05)。结论急诊腹腔镜治疗小儿嵌顿疝不但切实可行,而且住院时间短、风险小、并发症发生率低,值得临床推广。
Objective The aim of this study was to evaluate the emergent laparoscopy way to incarcerated pediatric inguinal hernia. Methods A retrospective study was planned to compare 32 cases laparoseopy techniques with an equal number of open herniorrhaphy to incarcerated pediatric inguinal hernia from January 2008 to December 2011. Statistical analysis was done with SPSS software,with the main outcome measures being operational time,hospitalization time,cost of hospitalization and postoperative complications,including recurrence rate and testicular atrophy rate. Results There was no statistically significance in the cost of hospitalization, recurrence rate and testicular atrophy rate between the two groups（ P 〉 0.05 ） , but the operation time, hos- pitalization time were all less in laparoscopy herniorrhaphy group than that of conventional open herniorrhaphy group（ P 〈 O. 05 ）. Conclusion The emergent laparoscopy approach appeared to be safe, effective, and reliable in the treatment of incarcerated pediatric inguinal hernia.
出处
《中华全科医学》
2013年第9期1338-1339,F0003,共3页
Chinese Journal of General Practice
基金
浙江省重点科技创新团队项目(2011R09040-02)
关键词
儿童
腹股沟疝
腹腔镜
嵌顿
Pediatrics
Inguinal henaia
Laparoscopy
Incarceration
