小儿腹腔镜疝双次内口关闭与单次内口关闭的临床对比研究

Clinical Comparative Study of Laparoscopic Hernia Twice and Single Closure of the Neck of the Sac for Indirect Inguinal Hernia in Children

目的:探讨腹腔镜下小儿腹股沟斜疝双次内口关闭与单次内口关闭的临床疗效及其可行性。方法:回顾性分析近年来收治的79例使用腹腔镜双次关闭内环口及108例单次关闭内口的小儿腹股沟斜疝患儿的临床资料,观察比较两组患儿的术中、术后情况。结果:两组患者的术中出血量、切口长度、住院时间及并发症发生率比较差异均无统计学意义(P>0.05),而双次关闭组的手术时间明显长于单次关闭组,复发率明显低于单次关闭组,差异均有统计学意义(P<0.05)。结论:腹腔镜下双次内口关闭组的手术并发症、出血量及住院时间均未增加,复发率显著下降,较单次内口关闭优势明显。

Objective： To investigate the clinical efficacy and feasibility of laparoscopic hernia twice and single closure of the neck of the sac for indirect inguinal hernia in children.Method： 187 children with indirect inguinal hernia were divided into laparoscopic twice and single closure of the neck of the sac for indirect inguinal hernia in recent years, the double closed group for 79 cases and the single closed group for 108 cases.The clinical data were retrospectively analyzed, the intraoperative and postoperative conditions of the two groups were observed and compared.Result： There were no statistically significant differences in intraoperative blood loss, length of incision, hospitalization time and complication rate between the two groups（P〉0.05）.Tbe operation time of the double closed group was significantly longer than the single closed group, the recurrence rate of the double closed group was significantly lower than the single closed group, the differences were statistically siguificant（P〈0.05）.Conclusion： The operation complication, blood loss and hospitalization time of laparoscopic twice closure hi＂ the neck of the sac are not increased, and the recurrence rate is significantly decreased.Laparoscopic twice closure of the neck of the sac is a better operation than single closure.