腹腔镜与开放性小儿疝手术的效果比较

Clinic Study on the Contrast Between Laparoscopic Herniotomy with Sutures in Children and the Classic Hernioplasty

目的评价腹腔镜与开放性小儿疝囊高位结扎术的临床价值。方法回顾分析腹腔镜下小儿疝囊高位结扎术103例(A组)及开放性疝囊高位结扎术98例(B组)的临床资料,对两组的麻醉方式、手术时间、术中出血量、术后自主活动时间、精索阴囊肿胀及有关并发症进行比较。结果腹腔镜组在术中出血、术后自主活动时间、术后精索阴囊肿胀及并发症方面明显优于开放手术组,差异有显著性(P<0.01)。两组的麻醉方式及手术时间比较,差异无显著性(P>0.05)。结论腹腔镜下小儿疝囊高位结扎术,具有操作简捷、对精索损伤小、术后恢复正常活动早、并发症少的优点,是小儿疝气治疗的微创术式。

Objective To evaluate the effert of laparoscopic hemiotomy and the classic open hemiotomy in children. Methods By contrasting the 103 cases of laparoscopic hemiotomy with the 98 cases of the classic： open hemioplasty（ the anesthesia, the operating procedure, the volume of bleeding, and the major complication）, the result is present. Results The effect of laparoscopic hemiotomy with sutures in children is better than the classic open hemioplasty with no major complication, less bleeding or recurrence and easy to operate and grasp. The difference is obvious（ P 〈 0.01 ）. there is no sense （ P 〉 0. 05） in contrasting between the two groups in the anesthesia, the operating procedure, the volume of bleeding, and the major complication. Conclusion Laparoscopic hemiotomy has smaller injury and renders itself more acceptable by the patients.