腹腔镜疝修补术与无张力疝修补术治疗患儿腹股沟嵌顿疝的临床研究

Clinical study of laparoscopic and unstressing herniorrhaphy for incarcerated inguinal hernia in children

目的探讨腹腔镜疝修补术与无张力疝修补术治疗患儿腹股沟嵌顿疝的临床疗效。方法选取该院腹股沟嵌顿疝患儿128例,观察组65例,给予腹股沟嵌顿疝患儿腹腔镜疝修补术治疗;对照组63例,给予腹股沟嵌顿疝患儿无张力疝修补术治疗。比较两组患儿术中出血量、术后并发症、疼痛持续时间、平均住院时间、恢复正常活动时间、平均手术时间和平均住院费用之间的差异。结果观察组术中出血量、术后并发症、疼痛持续时间、平均住院时间和恢复正常活动时间明显少于对照组(P<0.05);对照组平均手术时间、平均住院费用明显少于观察组(P<0.05)。结论两种疝修补术均为有效的手术方式,腹腔镜疝修补术对于治疗患儿腹股沟嵌顿疝的临床疗效更佳。

【Objective】To explore the clinical effect of the laparoscopic and unstressing herniorrhaphy for incarcerated inguinal hernia in children.【Methods】A total of 128 children with incarcerated inguinal hernia was selected randomly. They were divided into observation group（n =65） performed with laparoscopic operation and control group（n =63） performed with unstressing herniorrhaphy. Their clinical data were summarized, contrasted and analyzed respectively. The bleeding volume, postoperative complications, duration of pain, mean hospitalization time, time for return to normal activities, mean operative time and mean hospitalization expenses were analyzed.【Results】The bleeding volume and the postoperative complications were significantly less, and the duration of pain, the mean hospitalization time and the time for return to normal activities were significantly shorter in the observation group than those in the control group（P〈0.05）. The mean operative time was significantly shorter and the mean hospitalization expenses was significantly less in the control group than those in the observation group（P〈0.05）. Follow- up results showed that there was no recurrence both in the observation group and the control group.【Conclusion】The laparoscopic operation for incarcerated inguinal hernia of children has been proved to be more effective and minimal invasive than unstressing herniorrhaphy.