两种不同手术方法治疗小儿疝气的近期疗效以及安全性分析

Analysis of Short-Term Efficacy and Safety of Two Different Surgical Methods in Treating Hernia in Children

目的 分析两种不同手术方法治疗小儿疝气的近期疗效以及安全性。方法 按照手术方式的不同,将2016年12月—2017年6月间收治的小儿疝气患者35例作为传统组,采取传统手术治疗;再将2017年7月—2018年11月间收治的小儿疝气患者35例作为微创组,采取小切口微创术进行治疗,对比两组患儿的平均手术时间、术中出血量、平均住院时间、疼痛评分、治疗有效率以及并发症发生情况进行对比。结果 微创组患儿的并发症发生率为2.86%,治疗有效率为97.14%,传统组患儿的并发症发生率为20.00%,治疗有效率为82.86%,在并发症发生情况上,微创组显著低于传统组,差异有统计学意义(χ~2=5.081,P=0.024),在治疗有效率上,微创组显著高于传统组,差异有统计学意义(χ~2=3.983,P=0.046),并且微创组患儿的平均手术时间为(11.25±1.02)min、术中出血量为(1.55±0.51)mL以及平均住院时间为(2.23±0.34)d、疼痛评分为(3.98±1.01)分均优于传统组,差异有统计学意义(t=15.205、31.828、18.819,4.156,P=0.000)。结论 对患有疝气的小儿采取小切口微创术进行治疗,可有效缩短患儿手术时间以及住院时间,降低术中出血量,降低并发症发生情况,疗效显著,可供临床借鉴。

Objective To analyze the short-term efficacy and safety of two different surgical methods in treating hernia in children. Methods According to the different surgical methods, 35 children with hernia were treated as traditional group from December 2016 to June 2017, and then 35 children with hernia were treated as minimally invasive group from July 2017 to November 2018. The average operation time, intraoperative bleeding volume, average hospitalization time, pain score, treatment efficiency, and complications were compared between the two groups. Results The incidence of complications in the minimally invasive group was 2.86%, the effective rate of treatment was 97.14%, the complication rate in the traditional group was 20.00%, and the effective rate of treatment was 82.86%. The complication rate in the minimally invasive group was significantly lower than that in the traditional group (χ^2=5.081, P=0.024). In the effective rate of treatment, the minimally invasive group was significantly higher than that in the traditional group (χ^2=3.983, P=0.046), and the difference was significant (χ^2=3.983, P=0.046). The average operation time, intraoperative bleeding volume, average hospitalization time and pain score of the minimally invasive group were (11.25±1.02) min,(1.55±0.51)L,(2.23±0.34)d and (3.98±1.01)points respectively. The difference was significant (t=15.205, 31.828, 18.819,4.156, P=0.000). Conclusion The treatment of children with hernia by small incision minimally invasive surgery can effectively shorten the operation time and hospital stay, reduce the amount of intraoperative bleeding and the incidence of complications. The curative effect is significant, and it can be used for clinical reference.