单孔腹腔镜疝修补术与传统手术治疗小儿腹股沟疝的疗效及安全性

Effect and safety of single port laparoscopic herniorrhaphy and traditional surgery on inguinal hernia in children

目的 探讨单孔腹腔镜疝修补术与传统手术治疗小儿腹股沟疝的临床效果及安全性.方法 随机选取2014年5月至2015年8月腹股沟疝患儿116例,对照组58例行传统手术,观察组58例行单孔腹腔镜疝修补术.比较两组手术指标及预后指标.结果 观察组并发症发生率与复发率分别为1.72％ （1/58）、0,均低于对照组,差异有统计学意义（χ^2=6.04、5.52,P〈0.05）;观察组手术时间、术中出血量以及术后自由活动时间分别为（23.58±4.09） min、（8.32±2.17）ml、（2.84±0.32）d,均低于对照组,差异有统计学意义（t=16.39、11.09、10.38,P〈0.05）.结论 相比于传统手术,单孔腹腔镜疝修补术治疗小儿腹股沟疝的效果更佳,手术创伤小,利于术后恢复.

Objective To investigate the effect and safety of single port laparoscopic herniorrhaphy and traditional surgery on inguinal hernia in children.Methods From May 2014 to August 2015,116 children with inguinal hernia were randomly selected,58 cases of control group were treated by traditional surgery,while 58 cases of observation group were given single port laparoscopic herniorrhaphy.Then,surgical and prognostic indicators were compared between the two groups.Results The incidence of complications and the recurrence rate in the observation group respectively were 1.72% and 0%,which were significantly lower than those in the control group,the differences were significant （χ^2 =6.04,5.52,P 〈 0.05）;The operation time,intraoperative hemorrhage volume and postoperative free time respectively was（23.58 ±4.09）min,（8.32 ±2.17）ml,（2.84 ±0.32）d,which were lower than those in the control group,the differences were significant （t =16.39,11.09,10.38,P 〈 0.05）.Conclusions Compared with the traditional surgery,the effect of single hole laparoscopic herniorrhaphy on infantile hernia are better,and the operation wound is small,it can improve postoperative recovery.