单孔与多孔腹腔镜高位结扎术治疗小儿腹股沟斜疝的效果比较

Clinical Effectiveness Research of Single-incision Laparoscopic High Ligation Versus Conventional Laparoscopic High Ligation for Indirect Inguinal Hernia in Children

目的比较单孔腹腔镜高位结扎术与多孔腹腔镜高位结扎术治疗小儿腹股沟斜疝的临床效果。方法选取2017年18月大连市儿童医院收治的腹股沟斜疝患儿122例,依据治疗方案的不同分为观察组64例、对照组58例,观察组行单孔腹腔镜高位结扎术,对照组行多孔腹腔镜高位结扎术。结果观察组手术时间(17.4±6.0)min,长于对照组的(14.8±4.3)min,差异有统计学意义(t=2.770,P=0.007),两组术中出血量、术后下床活动时间和住院时间差异均无统计学意义(P>0.05).两组术后并发症发生率及复发率差异无统计学意义(P>0.05)。结论单孔与多孔腹腔镜高位结扎术治疗小儿腹股沟斜疝的效果相当,但单孔腹腔镜手术术后瘢痕更小,推荐推广使用。

Objective To invcstigate the clinical efficacy of single-incision laparoscopic high ligation versus conventional laparoscopic high ligation for indirect inguinal hernia in children.Methods A total of 122 indirect inguinal hernia patients from January 2018 to August 2018 were divided into two groups:study group(n=64)and control group(n=58),study group use singlc-incision laparoscopic high ligation and control group use conventional laparoscopic hernia sac high ligation.Results The operation time in study group was(17.4±6.0)min,and was significantly longer than(14.8±4.3)min in control group(t=2.770,P=0.007).There were no significant differences in intraoperative blood loss,postoperative activity time,hospital stay,postoperative complication rate,and rccurrcncc rate between two groups(P>0.05).Conclusion Single-incision laparoscopic high ligation has a similar clinical effective with conventional laparoscopic high ligation for indirect inguinal hernia in children,with a smaller surgical scar,and deserves to be popularized clinically.