腹腔镜与传统小儿腹股沟疝高位结扎术对机体创伤的对比研究

A comparative study of surgical trauma in laparoscopic versus traditional high ligation of indirect inguinal hernia in children

目的:探讨腹腔镜小儿腹股沟斜疝高位结扎术对机体的创伤。方法:将60例腹股沟斜疝患儿随机分为腹腔镜组与传统手术组,对比两组患儿术前及术后8 h、24 h、48 h外周静脉血白细胞介素-6(interleukin-6,IL-6)、C-反应蛋白(C reac-tive protein,CRP)值。结果:两组患儿术后8 h血清IL-6、CRP均明显高于术前,且传统手术组高于腹腔镜组;术后24 h,腹腔镜组下降,而传统手术组仍高于术前;术后48 h,两组患儿血清CRP、IL-6均下降,接近术前水平。结论:腹腔镜小儿腹股沟斜疝高位结扎术对患儿机体创伤较小,值得临床推广应用。

Objective：To value the surgical trauma of laparoscopic high ligation of indirect inguinal hernia in children. Methods：Sixty children with indirect inguinal hernia were divided into two groups randomly：the laparoscopic group （group L） and traditional group （ group T）. The levels of C-reactive protein （CRP） and interleukin-6 （IL-6） were evaluated preoperatively as well as 8 hours ,24 hours and 48 hours postoperatively. Results：At 8 hours after operation, serum levels of IL-6 and CRP increased in both group. The IL- 6 and CRP levels in serum of group L were significantly lower than that of group T. At 24 hours after operation, serum levels of IL-6 and CRP recovered to the preoperative levels in group L but still high in group T. At 48 hours after operation, serum levels of IL-6 and CRP both recovered to the preoperative levels in group T. Conclusions ： Laparoscopic high ligation of indirect inguinal hernia shows less trau- ma in children than traditional open surgery, and is worthy of clinical generalization.