单孔法与双孔法腹腔镜疝囊高位结扎治疗小儿腹股沟斜疝的疗效

A comparative study of single port and double port laparoscopic high ligation of hernia sac in the treatment of pediatric inguinal hernia

目的研究两种不同手术方法行腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的效果。方法回顾分析2010年10月至2015年10月,广东医科大学附属第三医院150例小儿腹股沟斜疝患儿资料,本组患儿分别行单孔法及双孔法腹腔镜疝囊高位结扎术,比较其手术时间,术后并发症、术后视觉模拟评分法(visual analogue scale,VAS)疼痛评分及复发率。结果单孔组手术时间(12.4±2.0)min多于双孔组(11.3±1.4)min,阴囊血肿发生率(11/72)高于双孔法(4/78),差异均有统计学意义(P均<0.05);2组患儿住院时间、VAS疼痛评分、复发率差异均无统计学意义(P均>0.05)。结论两种手术均为安全有效的方法,单孔法手术时间稍长、阴囊血肿发生率稍高。

Objective To study the clinical effectiveness of two different laparoscopic high ligation of hernia sac to treat inguinal hernia in children. Methods A retrospective analysis was conducted on 150 cases of laparoscopic high ligation of hernia sac in Longjiang Hospital from October 2010 to October 2015. The children were operated with single port and double port laparoscopic high ligation of hernia sac. The operation time, scrotal hematoma, hospitalization time, postoperative VAS score and recurrence rate were compared between the two groups. Results The incidence of scrotal hematoma was higher and the operation time was longer in the single port group. These differences were significant. There were no significant differences in hospitalization time, postoperative VAS score and recurrence rate. Conclusion The both two methods are safe and effective. The incidence of scrotal hematoma was higher and the operation time was longer in the single port group.