腹腔镜下疝囊高位结扎术治疗婴幼儿腹股沟疝的临床疗效

The clinical curative effects of laparoscopic high ligation of hernia sac on the treatment of inguinal hernia in infants

目的观察腹腔镜下疝囊高位结扎术治疗婴幼儿腹股沟疝的临床效果。方法选取78例腹股沟疝患儿,按随机数字表法分为对照组和观察组,每组39例。对照组采用传统开放式手术治疗,观察组在腹腔镜下行疝囊高位结扎术。结果观察组患儿手术时间、手术切口长度、术中出血量、住院时间均少于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率、复发率均低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下行疝囊高位结扎术治疗婴幼儿腹股沟疝有良好的应用价值,手术创伤小,术后并发症少,更有利于患儿康复,避免复发,适合于临床推广。

Objective To observe the clinical effects of laparoscopic high ligation of hernia sac on the treatment of inguinal hernia in infants. MethodsA total of 78 children with inguinal hernia were selected and randomly divided into control group and observation group according to the random number table method, 39 cases in each group. The control group were treated with traditional open operation while the observation group were treated by laparoscopic high ligation of hernia sac. ResultsThe operation time, length of surgical incision, intraoperative blood loss and length of hospital stay of the observation group were significantly less than that of the control group （P〈0.05）; The incidence rate of postoperative complications and the recurrence rate in the observation group were significantly lower than those in the control group （P〈0.05）. ConclusionLaparoscopic high ligation of hernia sac on the treatment of inguinal hernia in infants is of good application value, with small surgical trauma and less postoperative complications. It is more conducive to promote the recovery of children as soon as possible and to avoid recurrence. It is suitable for clinical promotion.