小儿双侧腹股沟斜疝腹腔镜手术与单切口手术的对比研究

Study on the Comparation of Children with Bilateral Inguinal Hernia in Laparoscopic Surgery and Single-incision Surgery

目的:比较两种手术方法治疗双侧腹股沟斜疝的效果。方法:病例随机分为A、B组,A组48例为腹腔镜组,B组39例为单切口手术组。比较两组病例手术时间,术中出血量,术后恢复情况(包括术后恢复时间,术后并发症记录,术后肿胀时间、切口感染、血肿、切口疝、缺血性睾丸炎,术后复发率)。结果:两组病人的手术时间、术中出血量、手术切口长度的差异均有统计学意义(P<0.05),而术后并发症方面,两组病人的复发率的差异无统计学意义(P>0.05)。结论:腹腔镜手术治疗双侧腹股沟斜疝在手术时间,手术出血量方面明显优于传统耻骨上单切口,同时不增加术后并发症。

Objective： To compare the effect of two surgical methods for bilateral inguinal hernia. Method： The patients were randomly divided into group A and B, group A for the laparoscopic group （n = 48 } , group B for the single-incision surgery { n = 39 }. Compared two groups of the surgical time, blood loss and postoperative recovery, including postoperative recovery time, postoperative complications, and postop- erative swelling, wound infection, hematoma, incisional hernia, ischemic orchitis after surgery relapse rate. Result： Operative time, blood loss, incision length differences were statistically significant between two groups { P 〈0.05 ）, while no significant differences in postoperative complications （ P〉 0.05 }. Conclusion： The laparoscopic treatment for bilateral inguinal hernia in the operative time, operative bleeding was signifi- cantly better than traditional suprapubic single incision, without increasing postoperative complications. Bilateral inguinal hernia; Laparoscopic surgery; The single-incision surgery