单孔腹腔镜与传统开放手术治疗小儿腹股沟嵌顿疝对比分析

发布时间：2018-10-23 13:42

【摘要】：目的比较单孔腹腔镜与传统开放手术治疗小儿腹股沟嵌顿疝的临床效果。方法选取我院2014年12月~2015年12月44例小儿腹股沟嵌顿疝,分成腔镜组和开放组,每组22例患儿,比较2组患儿手术时间、术中出血量、术后排气时间、术后住院时间及切口美观满意度评分。结果 44例手术顺利完成。与开放组相比,腔镜组手术时间明显缩短[(17.8±4.7)min vs.(30.6±8.2)min,t=-6.352,P=0.000],出血量明显减少[(4.8±1.3)ml vs.(10.6±3.2)ml,t=-7.876,P=0.000],术后排气时间明显缩短[(20.3±5.6)h vs.(26.4±7.9)h,t=-2.955,P=0.005],术后住院时间明显缩短[(2.8±0.7)d vs.(4.2±0.9)d,t=-5.759,P=0.000],切口美观满意度评分明显升高[(4.1±0.9)分vs.(3.0±0.8)分,t=4.285,P=0.000]。44例随访(10.6±4.3)月,全部患儿无复发及睾丸或卵巢萎缩。结论单孔腹腔镜手术治疗小儿腹股沟嵌顿疝安全可行,手术时间短,创伤小,恢复快,并能达到更好的美容效果,值得临床推广。
[Abstract]:Objective to compare the clinical effect of single-hole laparoscopy and traditional open operation in the treatment of infantile inguinal incarcerated hernia. Methods from December 2014 to December 2015, 44 children with incarcerated inguinal hernia were divided into two groups: endoscopic group (n = 22) and open group (n = 22). Postoperative hospitalization time and incision aesthetic satisfaction score. Results 44 cases were successfully completed. Compared with the open group, the operative time of the endoscopic group [(17.8 卤4.7) min vs. (30.6 卤8.2) min,t=-6.352,P=0.000], the volume of bleeding significantly decreased [(4.8 卤1.3) ml vs. (10.6 卤3.2) ml,t=-7.876,P=0.000], the postoperative exhaust time was significantly shortened [(20.3 卤5.6) h vs. (26.4 卤7.9) hti-2.955P0.005], the postoperative hospitalization time was significantly shortened [(2.8 卤0.7) d vs. (4.2 卤0.9) dt-5.759P0.000], the aesthetic satisfaction score of the incision was significantly increased [(4.1 卤0.9) score vs. (3.0 卤0.8), t 4.285P0. 000] 44 cases were followed up (10.6 卤4.3) months. No recurrence and atrophy of testis or ovaries were found in all children. Conclusion it is safe and feasible to treat infantile inguinal incarcerated hernia by single hole laparoscopic surgery, with short operation time, less trauma, quick recovery and better cosmetic effect, which is worth popularizing in clinic.
【作者单位】：大连医科大学附属大连市儿童医院普外科;
【分类号】：R726.5

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