摘要
目的:观察腹腔镜手术治疗小儿腹股沟斜疝的效果及安全性。方法:选取162例小儿腹股沟斜疝患儿为研究对象,根据简单随机化法将患儿分为观察组85例和对照组77例。观察组采用腹腔镜手术治疗,对照组采用下腹横纹小切口手术治疗。比较两组患儿的术中出血量、手术时间、住院时间以及患儿并发症发生率、复发率和患儿家属满意度。结果:观察组术中出血量明显少于对照组,手术时间和住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率和复发率分别为10.59%(9/85)和2.35%(2/85),明显低于对照组的25.97%(20/77)和18.19%(14/77),差异均有统计学意义(P<0.05);观察组患儿家属总满意度为94.12%(80/85),明显高于对照组的84.42%(65/77),差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗小儿腹股沟斜疝的效果及安全性优于下腹横纹小切口手术治疗效果。
Objective： To evaluate effect and safety of laparoscopic surgery for indirect inguinal hernia in children. Methods： A total of 162 children with indirect inguinal hernia underwent surgery were enrolled as the research objects. These patients were divided into observation group（85 cases） and control group（77 cases） according to the single randomization method. The observation group was treated with the laparoscopic surgery, while the control group was given the lower abdominal transverse small incision surgery. The intraoperative blood loss, operation time, hospitalization time, the incidence of complications, recurrence rate, and family satisfaction of the children were compared between the two groups. Results： The intraoperative blood loss in the observation group was significantly lower than that in the control group, the operation time and hospitalization time were significantly shorter than those in the control group, and the differences were statistically significant（P〈0.05）. The total incidence of complications and recurrence rate of the observation group were 10.59%（9/85） and 2.35%（2/85）, which were significantly lower those of the control group [25.97%（20/77） and 18.19%（14/77）], and the differences were statistically significant（P〈0.05）. The total family satisfaction of the children of the observation group was 94.12%（80/85）, which was significantly higher than that of the control group [84.42%（65/77）], and the difference was statistically significant（P〈0.05）. Conclusions： Laparoscopic surgery for the children with indirect inguinal hernia is superior to lower abdominal transverse small incision surgery.
作者
刘虹辰
LIU Hongchen(Jiamusi Maternal and Child Health Hospital,Jiamusi Heilongjiang 154002,China)
出处
《中国民康医学》
2018年第21期22-23,27,共3页
Medical Journal of Chinese People’s Health
关键词
腹腔镜手术
下腹横纹小切口手术
小儿腹股沟斜疝
安全性
Laparoscopic surgery
Lower abdominal transverse small incision surgery
Pediatric indirect inguinal hernia
Safety
