腹腔镜疝囊高位结扎术治疗小儿腹股沟疝的疗效分析

The clinical effect of laparoscopic high ligation of hernial sac in the children with inguinal hernia

目的对比腹腔镜疝囊高位结扎术及无张力疝修补术治疗小儿腹股沟疝的临床疗效。方法选取2012年1月—2014年1月在本院住院手术治疗纳入研究的52例腹股沟疝患儿为研究对象,研究对象随机分为两组,A组为(腹腔镜疝囊高位结扎术),B组为(无张力疝修补术),各组均为26例,对比两组术中出血量、术后康复相关指标及术后1天与3天的VRS疼痛评分。结果 A组术中出血量明显少于B组,且术后康复相关指标优于B组,疼痛评分较B组低。结论腹腔镜疝囊高位结扎术较无张力疝修补术治疗小儿腹股沟疝临床效果更优,值得推广。

Objective To compare the clinical effect of laparoscopic high ligation of hernial sac and non-tension herniorrhaphy in the children with inguinal hernia. Methods 56 children with inguinal hernia in our hospital from January 2012 to January 2014 were analyzed,they were randomly divided into 2 groups,26 cases in group A were treated with laparoscopic high ligation of hernial sac,26 cases in group B were treated with traditional non-tension herniorrhaph,and to compare the peri-operative bleeding,hospital stays,postoperative complications and postoperative VRS score between two groups. Results The perioperative bleeding amount,hospital stays,postoperative complications and postoperative VRS score in group A were remarkable less than those of group B（ P〈0. 01）. Conclusion The advantages of laparoscopic high ligation of hernial sac is more obvious than that traditional open non-tension herniorrhaphy,and worth of being generalized.