腹腔镜与传统手术治疗小儿腹股沟斜疝的对比研究

发布时间：2018-04-02 07:51

本文选题：腹腔镜　切入点：腹股沟斜疝　出处：《中国微创外科杂志》2017年03期

【摘要】：目的比较腹腔镜与传统手术治疗小儿腹股沟斜疝的临床疗效。方法根据患者家属的意愿将2014年1月~2015年5月我院收治的100例小儿腹股沟斜疝患儿分为2组:腹腔镜组(62例)和传统手术组(38例)。比较2组术中出血量、手术时间、住院时间,观察术后切口下出血和线结反应、皮下气肿、阴囊肿胀等并发症发生情况。结果传统手术组手术时间(24.3±6.5)min,与腹腔镜组(21.4±7.5)min无明显差异(t=1.972,P=0.051)。腹腔镜组出血量(6.8±2.7)ml,明显少于传统手术组(13.2±4.6)ml(t=8.777,P=0.000);住院时间(4.5±0.8)d明显短于传统手术组(6.9±1.2)d(t=12.002,P=0.000)。腹腔镜组和传统手术组并发症发生率无明显差异[3.2%(2/62)vs.7.9%(3/38),χ~2=0.322,P=0.571]。结论腹腔镜手术治疗小儿腹股沟斜疝在出血量、住院时间方面体现出微创技术的优势,在手术时间和术后并发症方面与传统手术差别不大,均能达到满意的临床效果。
[Abstract]:Objective to compare the clinical effect of laparoscopic and traditional operation in the treatment of indirect inguinal hernia in children.Methods from January 2014 to May 2015, 100 children with indirect inguinal hernia were divided into two groups: laparoscopic group (n = 62) and traditional operation group (n = 38).The amount of intraoperative bleeding, operation time, hospital stay, postoperative bleeding and linear reaction, subcutaneous emphysema, scrotal swelling and other complications were compared.Results the operative time of the traditional operation group was 24.3 卤6.5 min, and there was no significant difference between the laparoscopy group and the laparoscopic group (21.4 卤7.5)min).The bleeding volume in the laparoscopy group was 6.8 卤2.7 ml, which was significantly lower than that in the traditional operation group (13.2 卤4.6), and the hospitalization time was 4.5 卤0.8 days, which was significantly shorter than that in the traditional operation group (6.9 卤1.2 days).There was no significant difference in the incidence of complications between the laparoscopy group and the traditional operation group.Conclusion Laparoscopic surgery for indirect inguinal hernia in children shows the advantage of minimally invasive technique in terms of bleeding volume and hospital stay. There is no significant difference between the operative time and postoperative complications, and satisfactory clinical results can be achieved.
【作者单位】：河南省南阳市中心医院小儿外科;
【分类号】：R726.5

【相似文献】