腹横纹小切口手术治疗小儿疝气的临床效果观察

Clinical effect of abdominal stripes small incision operation on hernia in children

目的 探讨对小儿疝气患者行腹横纹小切口手术的临床效果.方法 选取2015年2月至2016年2月138例疝气患儿,采用随机数字分组原则将其分为两组,每组69例.将实施传统手术治疗的患儿设为对照组,实施腹横纹小切口手术治疗的患儿设为观察组,对比两组患儿的临床相关指标和临床效果.结果 观察组患儿的术中出血量为（1.32±0.41）ml,肠功能恢复时间为（20.41±7.41）h,下床活动时间为（18.23±6.52）h,并发症发生率为4.35％,疾病复发率为0％,对照组患儿的术中出血量为（4.53±1.52）ml,肠功能恢复时间为（27.62±8.61）h,下床活动时间为（23.72±7.32）h,并发症发生率为30.43％,疾病复发率为5.80％,差异有统计学有意义（P＜0.05）.结论 腹横纹小切口手术用于小儿疝气的治疗更为方便简单,可以减少对患儿机体的损伤,加快患儿的康复速度,实用价值更为突出.

Objective To investigate the effect of abdominal stripes small incision operation on hernia in children.Methods From February 2015 to February 2016,138 children with hernia were randomly divided into two groups,with 69 cases in each group.The children in the control group were given traditional surgical treatment,and the children in the observation group were given abdominal stripes small incision surgery.The relevant indicators and clinical effects were compared.Results In the observation group,the blood loss was （1.3 ± 0.4） ml,the intestinal function recovery time was （20.4 ± 7.4）h,the ambulation time was （18.2 ± 6.5） h,the complication rate was 4.35%,and the disease recurrence rate was 0%.In the control group,the blood loss was （4.5 ± 1.5） ml,the intestinal function recovery time was （27.6 ± 8.6） h,the ambulation time was （23.7 ± 7.3） h,the complication rate was 30.43%,and the relapse rate was 5.80%,there were significant differences （P 〈 0.05）.Conclusions The small incision surgery for abdominal stripes pediatric hernia is more convenient and simple,it can reduce the damage to the body of children,promote the recovery rate of children,the practical value is more prominent.