小儿腹腔镜疝内口关闭与开放疝囊高位结扎术的临床比较研究

Clinical Study of Laparoscopic Closure of the Neck of the Sac for Indirect Inguinal Hernia and Open Surgery in children

目的小儿腹腔镜疝内口关闭与开放疝囊高位结扎术的临床疗效、探讨其可行性。方法回顾性分析我院收治的108例使用腹腔镜关闭内环口及52例通过传统高位结扎的小儿腹股沟斜疝患儿的临床资料,比较二术式术中、术后及并发症情况。结果与开放组相较腹腔镜组手术时间、切口长度、出血量、住院时间及并发症均明显减少,差异有显著性;复发率无明显差异。结论腹腔镜组的切口和创伤小,手术操作简单,手术时间短,恢复快,术后无需拆线,较传统开放疝囊高位结扎优势明显。

Objective To evaluate the clinical outcomes between laparoscopic closure of the Neck of the Sac for indirect inguinal hernia and open surgery in children.Methods 160 children with indirect inguinal hernia were divided into laparoscopic closure of the Neck of the Sac for indirect inguinal hernia and open surgery groups,The clinical datas were collected and analyed.Results Laparoscopic closure of the Neck of the Sac resulted in smaller inci-sion,short operative duration,speedy recovery and lesser blood loss.There was no significant of recurrence rate in two groups.Conclusion Laparoscopic closure of the Neck of the Sac is a better operation than conventional open surgery.