腹腔镜手术在治疗小儿腹股沟疝与开放性手术对比在疗效及安全性的优势分析

Analysis of laparoscopic operation in the efficacy and safety of the advantages in the treatment of pediatric inguinal hernia operation compared with open

目的探讨小儿腹股沟疝采用腹腔镜手术与开放性手术治疗的疗效及安全性对比。方法该选取100例腹股沟疝患儿作研究对象,均为该院小儿普外科2013年5月—2014年5月收治,随机分组,就腹腔镜手术(观察组,n=50)与开放性手术(对照组,n=50)疗效及安全性进行比较。结果观察组选取患儿手术操作时间明显少于对照组,术中出血量明显少于对照组,住院时间明显短于对照组,差异有统计学意义(P<0.05)。观察组患儿阴囊水肿1例,无切口感染,术后复发1例,对照组分别为3例,1例,2例,差异有统计学意义(P<0.05)。结论小儿腹股沟疝采用腹腔镜手术治疗,可缩短手术时间、减少术中出血量,缩短住院时间,无严重并发症发生,对保障疗效和患儿生命安全有非常重要的意义。

Objective To investigate the inguinal hernia in children using the comparative efficacy and safety in the treatment of laparoscopic operation and open operation. The method to select 100 cases of inguinal hernia in children asthe research object, are in our hospital in 2013 May to 2014 May in the pediatric department of general surgery were randomly grouped, then, laparoscopic surgery （observation group, n=50） and open surgery （control group, n=50）compared the efficacy and safety of. Results in the obser-vation group, select theoperation time of patients was significantly lower than the control group, the amount of bleeding in operation was less than that of the control group, the hospitalization time was shorter than the control group, the difference was statistically significant （P〈0.05）. The observation group with 1 cases with scrotal edema, no incision infection, postoperative recurrence in 1 cases and the control group were 3 cases, 1 cases, 2 cases, the difference was statistically significant（P〈0.05）. Conclusion pediatric inguinal hernia by laparoscopic surgery, can shorten operation time, reduce the bleeding volume during operation,hospitalization time, without serious complications, is very important to guaranteethe efficacy and safety of life in children.