腹腔镜下小儿腹股沟疝内环高位结扎术的临床研究

Clinical study on laparoscopic inner high ligation for pediatric inguinal hernia

目的探讨腹腔镜下内环高位结扎术治疗小儿腹股沟疝的价值。方法对实验组(腹腔镜下内环高位结扎术组)22例和对照组(开放式手术组)18例在手术时间、术中平均出血量、自主活动恢复时间、发现对侧隐性疝、住院时间、近期及远期并发症的差异等方面进行分析比较。结果 实验组在术中平均出血量(1.89±0.31 mL)、自主活动恢复时间(10.78±2.1d)、发现对侧隐性疝1例、住院时间(2.0±0.31d)优于对照组(5.04±0.49mL、26.38±3.4d、0例、7.0±1.36d)。实验组的并发症(4例,4/22)少于对照组(13例,13/18)。结论 腹腔镜下内环高位结扎术治疗小儿疝气具有手术时间短、术中出血少、损伤小、术后恢复正常活动早、并发症少的优点,是值得推广的一种治疗方式。

Objective To explore the value of laparoscopic inner high ligation in treating pediatric inguinal hernia. Methods The differences in operation time, average amount of intraoperative bleeding, independent activity recovery time, cases with contralateral latent hernia, length of hospital stay and complications of short-term and long-teim were analyzed between experimental group （ n = 22, group of laparoscopic inner high ligation） and control group （ n = 18, group of open surgery）. Results The experimental group was superior to the control group in average amount of intraoperative bleeding （1. 89 ± 0. 31mL, 5. 04 ± 0. 49mL） , independent activity recovery time （10.78 ± 2.1 d, 26.38 ± 3.4d）, number of case with contralateral latent hernia （1,0）, length of hospital stay （2.0 ± 0.31d, 7.0 ± 1.36d）. The cases with complications in the experimental group （4, 4/22） were fewer than those in the control group （13, 13/18）. Conclusion The advantages of laparoscopic inner high ligation in treating pediatric inguinal hernia include short operation time, little intraoperative bleeding, minor injury, early postoperative recovery and few complications. It is worthy of popularizing.