腹腔镜手术与开放手术治疗小儿鞘膜积液的临床对照研究

Clinical control study of laparoscopic operation and traditional operation in treatment of pediatric hydrocele

目的:比较腹腔镜手术与传统手术治疗小儿鞘膜积液的临床疗效,为临床小儿鞘膜积液的治疗提供理论依据。方法:回顾分析102例鞘膜积液患儿的临床资料,其中60例行腹腔镜手术(腹腔镜组),42例行开放手术(传统组),对比分析两组手术时间、术中出血量、术后自主活动时间、住院费用及并发症情况。结果:腹腔镜组术中出血量、术后自主活动时间及有关并发症发生率优于传统组(P<0.01),住院费用较传统手术组高(P<0.01)。两组单侧手术时间差异无统计学意义(P>0.05),但双侧手术时间腹腔镜组更短(P<0.01)。结论:腹腔镜手术治疗小儿鞘膜积液较传统开放手术更加安全、有效,值得临床推广应用。

Objective：To compare the clinical effect between laparoscopic operation and traditional operation in treatment of pediatric hydrocele ,and provide theoretical basis for the clinical treatment of pediatric hydrocele .Methods：The clinical data of 102 children with hydrocele were retrospectively analyzed .60 patients underwent laparoscopic treatment （ laparoscopic group ） and the other 42 patients underwent classic open operation （ traditional group ） .The duration of operation ,intraoperative blood loss ,postoperative am-bulation time,hospitalization expense and complications of two groups were compared .Results：Compared with the traditional group , there was significant reduction in laparoscopic group regarding amount of bleeding during surgery , postoperative ambulation time and complication （P〈0.01）,while the hospitalization expense was higher than the traditional group （P〈0.01）.There was no statistical difference in the duration of operation with unilateral hydrocele between two groups .While the surgery time of bilateral hydrocele in lap-aroscopic group was shorter than that in traditional group （P〈0.01）.Conclusions：Compared with traditional surgery ,laparoscopic op-eration has advantages in terms of efficacy and safety for pediatric hydrocele ,and is worthy of clinical promotion .