传统手术与微创手术治疗小儿疝气的临床价值对比研究

A comparative study of the clinical value of traditional surgery and minimally invasive surgery in the treatment of children with hernia

目的对比研究传统手术与微创手术治疗小儿疝气的临床价值。方法选取2015年5月至2017年5月在本院治疗的80例小儿疝气患者,根据数字表法随机分为传统手术组与微创手术组,分别应用传统手术与微创手术法进行治疗,对比2组患者的手术情况、术后恢复情况、并发症发生情况及血清指标。结果本次研究发现微创手术组的的手术时间(12.4±2.9)min、手术中出血量(2.87±0.21)m L、住院时间(1.32±0.23)d、术后自主活动时间(12.4±1.2)h、术后并发症总发生率(22.5%)均优于传统手术组手术时间(20.7±3.4)min、手术中出血量(5.43±0.39)m L、住院时间(5.29±1.45)d、术后自主活动时间(24.9±2.1)h、术后并发症总发生率(75.0%),微创手术组术后1 d的IL-1β(62.35±6.51)μg/m L、Ig M(0.81±0.04)μg/m L、Ig A(1.22±0.06)μg/m L、Ig G(5.05±0.21)μg/m L与传统手术组术后1 d的IL-1β(75.77±6.43)μg/m L、Ig M(0.92±0.05)μg/m L、Ig A(1.63±0.09)μg/m L、Ig G(6.47±0.12)μg/m L对比、2组患者手术后各项血清指标与手术前对比差异均有统计学意义(P<0.05)。而微创手术组与传统手术组手术前的各项血清指标对比差异无统计学意义(P>0.05)。结论对比传统手术,微创手术的手术效率高、术后恢复快、并发症发生率低,且对小儿机体免疫功能影响较小,对于小儿疝气患者的治疗疗效更为良好,可应用于临床治疗改善患者生活质量。

Objective To compare the clinical value of traditional surgery and minimally invasive surgery in the treatment of children with hernia. Methods From May 2015 to May 2017,80 patients with hernia treated in our hospital were randomly divided into traditional operation group and minimally invasive operation group. The patients were treated with traditional surgery and minimally invasive surgery respectively. Surgical conditions,postoperative recovery,complications and serum indicators were compared between the two groups of patients. Results The study found that the minimally invasive surgery group had operative time（12. 4 ± 2. 9） min,intraoperative blood loss（2. 87 ± 0. 21） m L,length of hospital stay（1. 32 ± 0. 23） d,postoperative spontaneous activity（12. 4 ± 1. 2） h,and postoperative concurrent The overall incidence of the disease（22. 5%） was superior to that of the conventional surgical group（20. 7 ± 3. 4） min,intraoperative blood loss（5. 43 ± 0. 39） m L,length of hospital stay（5. 29 ± 1. 45） d,and postoperative spontaneous activity（24. 9 ± 2. 1） h. The total incidence of postoperative complications（75. 0%）. Minimally invasive surgical group IL-1β（62. 35 ± 6. 51） μg/m L 1 d of Ig M（0. 81 ± 0. 04） μg/m L,Ig A（1. 22 ± 0. 06） μg/m L,Ig G（5. 05 ± 0. 21） μg/m L and traditional surgical group 1 d of IL-1β（75. 77 ± 6. 43） μg/m L,Ig M（0. 92 ± 0. 05） μg/m L,Ig A（1. 63 ± 0. 09） μg/m L,Ig G（6. 47 ± 0. 12） μg/m L compared two groups of patients before surgery and the serum markers for comparison of the differences were statistically significant surgery（P〈0. 05）. However,there was no significant difference in serum indexes between the minimally invasive surgery group and the traditional operation group before surgery（P〉0. 05）. Conclusion Compared with traditional surgery and minimally invasive surgery,the operation efficiency is high,the postoperative recovery is quick,the incidence of complications is low,and the immune function of children is less affected. It is more effective for the treatment of children with hernia and can be applied to clinical treatment to improve patient＇s quality of life.