摘要
目的探讨腹腔镜手术治疗小儿嵌顿性腹股沟斜疝的临床疗效和安全性,为临床手术治疗方案的选择提供理论依据。方法回顾性分析自2014年6—2017年6月期间本院收治的116例嵌顿性腹股沟斜疝患儿的临床资料,将接受腹腔镜手术的73例患儿分为观察组,接受传统腹股沟斜切口开放手术的43例患儿分为对照组。对比两组患儿的手术时间、切口长度、术中出血量、术后通气时间、术后下地活动时间以及住院天数;对比两组患儿术后阴囊或阴唇血肿、切口感染的发生率以及术后腹股沟斜疝的复发率。结果观察组的手术时间为(30.19±10.61)min,切口长度为(0.66±0.11)cm,术中出血量为(5.58±1.19)ml,术后通气时间为(7.31±2.08)h,术后下床活动时间为(6.18±1.17)d,住院天数为(3.31±1.16)d,均显著少于对照组(均P<0.05);观察组阴囊或阴唇血肿、切口感染的发生率均为0.00%,均显著低于对照组(均P<0.05);两组患儿术后腹股沟斜疝复发率的对比,差异没有统计学意义(P>0.05)。结论腹腔镜手术治疗小儿嵌顿性腹股沟斜疝的手术创伤小,术后康复时间短,术后并发症少,具有良好的临床疗效。
Objective To explore the clinical efficacy and safety of laparoscopic surgery for incarcerated indirect inguinal hernia in children,and to provide a theoretical basis for the selection of surgical treatment plan.Methods The clinical data of 116 children with incarcerated inguinal hernia were selected,73 cases underwent laparoscopic surgery were divided into observation group,43 patients underwent traditional inguinal oblique incision open surgery were divided into control group. Operative time,incision length,amount of bleeding,postoperative ventilation time,postoperative ambulation time and hospitalization time were compared between the two groups.Postoperative scrotum or labia hematoma,wound infection rate and postoperative recurrence of inguinal hernia were compared too.Results The operation time of the observation group was（ 30.19±10.61） min,wound length was（ 0.66±0.11） cm,the amount of hemorrhage was（ 5.58 ± 1.19） ml,postoperative ventilation time was（ 7.31±2.08） h,postoperative ambulation time was（ 6.18±1.17） d,days of hospitalization was（ 3.31±1.16） d,significantly less than the control group（ P〈0. 05）. The incidence of scrotum or labia hematoma and incision infection rate was 0%,which was significantly lower than that of the control group（ P〈0. 05）. Compared the inguinal hernia recurrence rate of children of two groups after operation,there was no significant differences（ P〈0.05）. Conclusions Laparoscopic surgery for children with incarcerated indirect inguinal hernia has less operative trauma,shorter postoperative rehabilitation time and fewer postoperative complications,and has good clinical efficacy.
作者
肖雅
罗雪松
喻正波
XIAO Ya(Department of Pediatric Surgery,The First People＇s Hospital of Zunyi City,Zunyi,Guizhou 563000, Chin)
出处
《齐齐哈尔医学院学报》
2018年第1期46-48,共3页
Journal of Qiqihar Medical University
