腹横纹下小切口手术与传统手术治疗小儿腹股沟疝的对比研究

Comparative study of abdominal stripes small incision surgery and traditional surgery for inguinal hernia in children

目的通过探讨腹横纹下小切口手术与传统手术治疗小儿腹股沟疝的临床疗效，旨在为提高患者生活质量、减少并发症提供理论依据。方法选择2014年1月～2015年1月在我院接受治疗的小儿腹股沟疝患者140例，随机分为研究组和对照组两组，研究组患者应用腹横纹下小切口手术治疗，对照组患者应用传统手术治疗，对比两组患者手术时间、术中出血量、自主活动时间、住院时间；同时比较两种手术方式切口长度、疼痛评分、术后止痛药使用频率、切口美容指数及两组患者术后阴囊血肿、切口感染、腹胀及复发率。结果研究组患者手术时间为（22．12±1．02）min、术中出血量为（5．85±1．03）mL、自主活动时间为（13．84±1．10）h、住院时间为（3．04±0．61）d，研究组均显著优于对照组，且差异有统计学意义（P〈O．05）；研究组切口长度为（2．14±0．45）em、疼痛评分为（2．14±0．45）分、术后止痛药使用频率为（1．27±0．35）、切口美容指数为（2．56±0．42），同时各并发症发生率均显著低于对照组，差异有统计学意义（P〈0．05）。结论应用腹横纹下小切口术治疗小儿腹股沟疝具有手术创伤小、并发症少的优点，与传统手术比较优势明显。

Objective To explore abdominal stripes small incision surgery and traditional surgery for inguinal hernia clinical efficacy, aimed to provide a theoretical basis for improving the quality of patient＇s life and reduce complica- tions. Methods From Jan 2014 to Jan 2015 in our hospital for treatment of 140 patients with pediatric inguinal hernia were selected, and were randomly divided into study group and the control group on average, patients in the study group were treated by abdominal stripes small incision surgery, control group were treated by traditional surgery, two groups of patients with operation time, intraoperative blood loss, independent activity time, hospitalization time, com- pared with two surgical incision length, pain score, postoperative analgesic use frequency, cosmetic index, statistics of two groups of patients with postoperative scrotal hematoma, wound infection, abdominal distention and recurrence rate were compared. Results The operation time of study group was（22.12±1.02） min, blood loss was（5.85＋l.03） mL, in- dependent activity time was（13.84±l.10） h, hospitalization time was（3.04±0.61） d, were significantly better than that in thecontrol group, and the difference was statistically significant（P〈0.05）; Surgical incision length of study group was （2.14±0.45） era, pain scores was（2.14±0.45） point, postoperative analgesic use frequency was（1.27±0.35）, incision cos- metic index was（2.56±0.42）, while the complication rate were significantly lower than that in the control group, the dif- ference was statistically significant（P〈0.05）. Conclusion Application of abdominal stripes small incision surgery to treat inguinal hernia has the advantages of small surgical trauma, fewer complications, the comparative advantage of traditional operation is obvious.