摘要
目的探讨腹腔镜下内环修补术治疗小儿腹股沟斜疝的临床效果。方法选取2018年6月~2019年10月我院收治的95例腹股沟斜疝患儿作为研究对象,按随机数字表法分为对照组(n=45)与观察组(n=50)。对照组采用传统经腹股沟外环疝囊高位结扎术,观察组采用腹腔镜下内环修补术。比较两组的手术时间、住院时间及阴囊血肿发生率。结果观察组的手术时间和住院时间短于对照组,差异有统计学意义(P<0.05);观察组阴囊血肿发生率低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下内环修补术治疗小儿腹股沟斜疝的效果显著,可有效缩短手术时间及住院时间,降低术后阴囊血肿发生率,可使患儿获益。
Objective To investigate the clinical effect of laparoscopic internal ring repair in the treatment of children with indirect inguinal hernia.Methods A total of 95 children with indirect inguinal hernia who were admitted to our hospital from June 2018 to October 2019 were selected as research subjects,and they were divided into control group(n=45)and observation group(n=50)according to random number table method.The control group underwent conventional external inguinal ring high ligation of hernia sac,and observation group was treated with laparoscopic internal ring repair.The operation time,hospital stays and the incidence of hematoma of scrotum were compared between the two groups.Results The operation time and hospital stays in observation group were shorter than those in control group,with statistical differences(P<0.05).The incidence of hematoma of scrotum in observation group was lower than that in control group,with statistical difference(P<0.05).The total effective rate of observation group was higher than that of control group,with statistical difference(P<0.05).Conclusion Laparoscopic internal ring repair in treatment of children with indirect inguinal hernia has significant effect,it can shorten operation time and hospital stays,decrease the incidence of postoperative hematoma of scrotum,and benefit the children.
作者
谌卫龙
邓庆强
徐维
CHEN Wei-long;DENG Qing-qiang;XU Wei(Department of General Surgery,Jiangxi Provincial Children′s Hospital,Nanchang 330000,China)
出处
《中国当代医药》
2020年第21期97-99,共3页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20195590)。
关键词
腹股沟斜疝
腹腔镜
内环修补术
经腹股沟外环疝囊高位结扎术
阴囊血肿
Indirect inguinal hernia
Laparoscopic
Internal ring repair
External inguinal ring high ligation of hernia sac
Hematoma of scrotum
