经脐单孔腹腔镜小儿疝囊高位结扎术与传统术式临床效果比较分析

A comparative analysis of the clinical effect of laparoscopic high ligation of hernial sac in children with traditional operation

目的探讨小儿腹股沟斜疝患者采用腹腔镜小儿疝囊高位结扎术与传统手术治疗的临床效果。方法收集2012年1月～2013年6月来我院就诊的小儿腹股沟斜疝患者130例,所有的研究对象根据患者家属的意愿分为两组,其中腹腔镜组80例,采用经脐单孔腹腔镜小儿疝囊高位结扎术进行治疗,传统手术组50例,采用传统小儿疝囊高位结扎术进行治疗。比较两组患者的术中、术后情况及术后并发症发生情况。结果腹腔镜组患者的切口大小与传统手术组比较明显较小,手术时间及住院时间明显较短,两组差异有统计学意义(P<0.05);腹腔镜组术后用止痛药的患者比例、复发率、并发症总发生率均明显低于传统手术组,家属对切口满意度评分高于传统手术组,两组差异有统计学意义(P<0.05)。结论小儿腹股沟斜疝采用腹腔镜小儿疝囊高位结扎术治疗疗效确切,可以作为一种安全有效的方法在临床推广应用。

Objective To investigate the clinical effect of pediatric indirect inguinal hernia treated with laparoscopic high ligation of hernia sac and traditional operation therapy. Methods A total of 130 cases with indirect inguinal her- nia were collected from January 2012 to June 2013 in our hospital, all subjects according to the patients＂ family mem- bers wills were divided into two groups, the laparoscopic group included 80 cases, and they were treated with laparo- scopic high ligation of hernial sac. The traditional operation group included 50 cases, and they were treated by the tra- ditional high ligation of hernial sac. Compared postoperative complications of two groups during and after the opera- tion. Results Incision size of the laparoscopic group was significant shorter than that of the traditional operation group, operation time and hospitalization time were significant shorter, there were significant differences between the two groups （/9 〈 0.05）; the recurrence rate and postoperative complications in proportion, the total rate of patients with pain of the laparoscopic group were significantly lower than those of traditional operation group,and family satisfaction rat- ings for incision of the laparoscopic group was significant higher, the differences between the two groups were statisti- cally （P 〈 0.05）. Conclusion The curative effect of children with indirect inguinal hernia laparoscopic hernia sac ligation in the treatment is accurate, can be used as a safe and effective method in clinical application.