摘要
目的观察比较小儿疝气采用腹腔镜和传统手术治疗的临床效果。方法选取2014年8月至2015年8月我院收治小儿疝气患者180例为研究对象,根据手术方案的不同分为研究组与对照组,每组90例。对照组患儿采用传统开腹手术,研究组患儿采用腹腔镜手术。比较两组的手术情况(手术时间、术中出血量、术后活动时间、术后禁食时间、住院时间等)以及术后并发症发生情况。结果研究组手术时间、术中出血量、术后活动时间、术后禁食时间、住院时间均显著低于对照组,差异具有统计学意义(P<0.05)。研究组术后腹胀、阴囊肿胀、继发鞘膜积液、切口感染发生率均显著低于对照组,差异具有统计学意义(P<0.05);两组疝复发发生率相比差异不显著(P>0.05)。结论采用腹腔镜技术治疗小儿疝气,操作简便且对患儿的损伤较小,术后恢复较快,并且无明显术后并发症,值得推广。
Objective To observe and compare the clinical effect of laparoscopic operation and traditional operation in treatment of pediatric hernia. Methods 180 children with hernia treated in our hospital from August 2014 to August 2015 were selected as research objects and divided into study group and control group according to surgical scheme, with 90 cases in each group. The control group was treated with traditional open operation, the study group was treated with laparoscopie surgery. The operation situations （including operation time, intraoperative bleeding volume, postoperative activity time, postoperative fasting time, hospitalization time, etc） and the incidence of postoperative complications were compared between the two groups. Results The operation time, intraoperative bleeding volume, postoperative activity time, postoperative fasting time, hospitalization time of the study group was significantly lower than that of the control group, with statistically significant difference （P〈0.05）. The incidence of abdominal distension, scrotum swelling, secondary hydrocele and incision infection of the study group was significantly lower than that of the control group, with statistically significant difference （P 〈0.05）; but the incidence of recurrent hernia of the two groups had no statistically significant difference （P 〉0.05）. Conclusions Laparoscopic technique has simple operation, less damage and rapid recovery in treatment of pediatric hernia, without significant postoperative complications, which is worthy of promotion and application.
出处
《临床医学工程》
2015年第12期1562-1563,共2页
Clinical Medicine & Engineering
关键词
小儿疝气
腹腔镜
并发症
Pediatric hernia
Laparoscope
Complication
