腹腔镜下疝囊高位结扎术应用于患儿腹股沟疝的治疗效果分析

Analysis of Effect of Laparoscopic Sac High Ligation in Treatment of Inguinal Region Hernia in Children

目的探究腹腔镜下疝囊高位结扎术应用于患儿腹股沟疝的治疗效果,探讨其在临床的应用价值。方法整群选取该院2014年2月—2015年12月收治的128例腹股沟疝患儿,将实验患者分为两组,分别为研究组和对照组,分别为64例患者,分别为腹镜下疝囊高位结扎术、传统疝囊高位结扎术治疗,对比两组患者的手术情况、切口处理情况、随访复发及并发症。结果实验组中实验结果表明,在实验过程中手术的切口长度比较研究组较为理想,手术中途患者的出血量也少于对照组患者出血量,腹腔镜组数据较为理想,均优于对照组。差异均有统计学意义(P<0.05);实验数据分析结果中腹腔镜组的并发症率明显比对照组小(6.3%<12.5%),差异具有统计学意义(P<0.05),实验发现鞘膜积液发生率与对照相比低于对照组,但其发生率相近,在术后患者恢复情况在随访过程中有了解,及时掌握患者在术后的健康状况,随访在半年时间左右进行一次随访,研究组患儿瘢痕率、复发率均低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜组患者在各实验数据对比下较对照组均具有较大优势,并且具有较高的可靠性及安全性,腹腔镜下疝囊高位结扎术是安全可靠的,为患者首选术士,值得于推广。

Objective To discuss the clinical application value and effect of laparoscopic sac high ligation in treatment of inguinal region hernia in children. Methods 128 cases of children with inguinal region hernia admitted and treated in our hospital from February 2014 to December 2015 were selected and divided into two groups with 64 cases in each, the research group were treated with laparoscopic sac high ligation, the control group were treated with traditional sac high ligation, and the operation conditions, incision treatment, recurrence at follow-up and complications were compared between the two groups. Results The experimental results showed that the incision length in the course of experiment was more ideal in the research group, the intraoperative blood loss in the research group was less than that in the control group, the data in the research group were ideal, which were better than those in the control group, and all differences had statistical significant, P〈0.05, the analytic results of experimental data showed that the complication rate in the research group was obviously smaller than that in the control group,（6.3% vs 12.5%）, and the difference had statistical significance, P〈0.05, the experiment discovered that the incidence rate of hydrocele in the research group was lower than that in the control group, but the incidence rate was similar, the recovery of patients after operation was known during the follow-up, the healthy conditions of patients after operation were timely mastered, and the follow-up was carried on every 6 months or so, the scar rate and recurrence in the research group were lower than those in the control group, and the differences had statistical significance,P 〈0.05. Conclusion All experimental data in the research group were obviously advantageous compared with those in the control group with higher reliability and security, the laparoscopic sac high ligation is safe and reliable and can be regarded as the preferred operative method, which is worth promotion.