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不同手术方法治疗小儿疝气的近期疗效以及安全性分析 被引量:18

Short-Term Effect and Safety of Different Surgical Methods for Pediatric Hernia
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摘要 目的对比和分析传统手术和小切口微创手术治疗小儿疝气的临床疗效和术后并发症发生情况。方法选取我院2013年1月-2016年1月期间收治的60例小儿疝气作为本次研究对象,按照随机数字表的方法分为观察组和对照组,各30例。对照组实施传统手术进行治疗,观察组则实施小切口微创手术进行治疗,分别对2组的临床疗效、术后并发症发生情况以及手术相关指标进行客观的比较。结果经比较,2组间的手术时间、术后下床时间、术后疼痛视觉模拟评分(VAS)、术中出血量以及住院时间等相关手术指标差异具有统计学意义(P <0.05);观察组术后的并发症总发生率为9.99%,对照组术后并发症总发生率为33.33%,2组比较差异有统计学意义(P <0.05);同时,观察组的临床疗效亦更优于对照组(P <0.05)。结论小切口微创手术治疗小儿疝气的临床疗效显著,且具有一定的安全性,且患儿术后恢复更快,因而值得临床中推广应用。 Objective To compare and analyze the curative effect and postoperative complications of traditional operation and minimally invasive surgery in the treatment of pediatric hernia. Methods A total of 60 patients with pediatric hernia were into the observation group and the control group according to the method of random number table, 30 in each group. The control group was treated with traditional surgery, while the observation group was treated with minimally invasive surgery. The clinical efficacy, postoperative complications and the related indexes of the two groups were compared objectively. Results There were significant differences in operation time, time to get out of bed,visual analogue scale (VAS), intraoperative bleeding and hospital stay between the two groups ( P <0.05). The total incidence of complications was 9.99% in the observation group and 33.33% in the control group. There was significant difference between the two groups ( P <0.05). The clinical effect of observation group was better than that of control group ( P <0.05). Conclusion Minimally invasive surgery for pediatric hernia has a significant clinical effect, and has a certain degree of safety, and children recover faster after surgery, so it is worthy of clinical application.
作者 赵继学 伏鑫 ZHAO Jixue;FU Xin(The First Hospital of Jilin University,Changchun 130021,China;China-Japan Union Hospital of Jilin University,Changchun 130033,China)
出处 《长春中医药大学学报》 2018年第6期1196-1198,共3页 Journal of Changchun University of Chinese Medicine
基金 吉林大学科研项目(2018166)
关键词 小切口微创手术 小儿疝气 传统手术 临床疗效 安全性 minimally invasive surgery pediatric hernia traditional surgery clinical efficacy safety
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