腹腔镜手术治疗小儿腹股沟嵌顿疝临床疗效评价

Clinical study of the laparoscopic and traditional operation for inguinal incarceration hernia in children

目的:评价小儿腹股沟嵌顿疝腹腔镜手术的临床应用价值。方法:对行微型腹腔镜腹股沟嵌顿疝手术55例患儿(腹腔镜组)及同期行开放手术的腹股沟嵌顿疝46例患儿(对照组)的临床资料进行对比分析,对两组患儿的手术时间、出血量、住院时间及术后并发症等进行统计分析。结果:腹腔镜组平均手术时间、出血量、住院时间及术后并发症等显著少于对照组,两组随访均无复发。结论:腹腔镜手术治疗小儿腹股沟嵌顿疝具有损伤小、并发症少等优点。

Objective ：To explore the clinical value of the laparoscopic operation for inguinal incarceration hernia in children.Methods：55 children with inguinal incarceration hernia （the laparoscopic group） were performed with laparoscopic operation,46 cases were done with traditional operation at the same time （the control group）.Their clinical data were summarized, contrasted and analyzed respectively. The operative time, bleeding volume, operative complications and hospitalize stay were analyzed.Results：There were statistically significant differences in the operative time, bleeding volume, operative complications and hospitalize stay between the laparoscopic group and the control group. Follow-up results showed that there was no recurrence both in the laparoscopic group and the control group.Conclusion ：The study showed the laparoscopic operation for inguinal incarceration bemia of children had been proved to be more effective and minimal invasive than traditional method.