摘要
目的回顾性分析比较腹腔镜完全腹膜外疝囊高位结扎术和传统手术治疗小儿腹股沟斜疝的优点缺点,探索腹腔镜治疗小儿斜疝的手术方式。方法随机调阅泰兴市人民医院小儿外科2011年2月至2013年2月收治的小儿斜疝患儿的病例资料(腹腔镜组60例,传统手术组60例)做回顾性分析并进行术后随访2年。结果腹腔镜组与传统手术组比较,手术时间、术中出血、住院时间及术后自主活动时间均差异具有统计学意义(P<0.05);术后随访情况显示,腹腔镜组的阴囊肿胀、医源性隐睾和睾丸萎缩等近期远期并发症与传统手术组比较,差异有统计学意义(P<0.05),但两者在术后复发的比较中没有统计学意义。结论腹腔镜完全腹膜外疝囊高位结扎术安全性高、并发症少,值得临床推广。
Objective To explore the possibility of application of single-port laparoscopic total extra-peritoneal high ligation of indirect inguinal hernia in children through retrospective analysis. Methods Retrospective review to compare laparoscopic group （ 60 cases） and open operation group （ 60 cases） was conducted between Feb. 2011 and Feb. 2013 in which all cases in the research were randormized and followed-up. Results There are statistical significances （P 〈 O. 05）between the two groups in the operation time, amount of bleeding, hospital days and the time of autonomic activities after operation. Follow-up of short and long term shows significant differences （ P 〈 0.05 ） between the two groups in scrotal edema, iatrogenic undescended testis and atrophy of testicle after operation, however there is no significance in the recurrence of hernia between the two groups. Conclusions It is safe and little complications of the single- port laparoscopic total extra-peritoneal high ligation of indirect inguinal hernia in children.
出处
《中华腔镜外科杂志（电子版）》
2015年第6期53-56,共4页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
儿童
疝
腹腔镜
腹膜外
Hernia
Laparoscopy
Children
Extra-peritoneal
