摘要
目的探讨微创小儿疝气临床治疗术后恢复情况及其并发症情况。方法将120例疝气患儿随机分为观察组和对照组,每组60例,观察组患儿给予微创手术治疗,对照组给予传统手术治疗,比较两组治疗期间的手术时间、术中出血量、自主活动时间、住院时间、术后疼痛程度及并发症发生率。结果观察组手术时间（13.37±5.08）min、术中出血量（4.54±1.02）m L、自主活动时间（13.12±1.34）h及术后住院时间（1.88±0.79）d显著低于照组手术时间（21.45±5.02）min、术中出血量（6.88±1.46）m L、自主活动时间（23.57±3.73）h及术后住院时间（4.32±1.27）d,两组比较,差异有统计学意义（P〈0.01）;观察组术后并发症总发生率（15.0%）显著低于对照组术后并发症总发生率（35.0%）,两组比较,差异有统计学意义（χ^2=11.584,P=0.006）。结论微创手术治疗小儿疝气具有创伤小、术后恢复快、术后并发症少等特点,具有临床应用价值。
Objective To explore the clinical effect of small incision surgery in the treatment of pediatric hernia. Methods A total of 120 children with hernia were randomly divided into observation group and control group,60 cases in each group. The children of observation group received minimally invasive surgery,and the control group were given conventional surgical treatment. The operation time,intraoperative blood loss,independent activity time,length of hospital stay,postoperative pain degree and the incidence of complications were compared between the two groups. Results In the observation group,operation time was（ 13. 37 ± 5. 08） min,intraoperative blood loss was（ 4. 54 ± 1. 02） m L,independent activity time was（ 13. 12 ± 1. 34） h and surgery hospital time was（ 1. 88 ± 0. 79） d,significantly lower than those in the control group [time of surgery（ 21. 45 ± 5. 02） min,intraoperative blood loss（ 6. 88 ± 1. 46） m L,independent activity time（ 23. 57 ± 3. 73） h and postoperative hospitalization time（ 4. 32 ± 1. 27 d） ],the differences were statistically significant（ P〈0. 01）. The incidence of complications in the observation group（ 15%） was significantly lower than 35. 0% of the control group,the difference was statistically significant（ P〈0. 05）.Conclusion Minimally invasive surgery has the advantages of small trauma,quick recovery,postoperative complications,and has a clinical application value.
出处
《微创医学》
2016年第4期535-537,571,共4页
Journal of Minimally Invasive Medicine
关键词
微创手术
疝气
小儿
并发症
Minimally invasive surgery
Pediatric hernia
Children
Complications
