腹腔镜疝囊高位结扎联合脐正中襞覆盖内环治疗小儿腹股沟斜疝的疗效

Clinical effect of laparoscopic high ligation of hernia sac combined with medial umbilical fold covering inner ring in the treatment of indirect inguinal hernia in children

目的探讨腹腔镜疝囊高位结扎联合脐正中襞覆盖内环治疗小儿腹股沟斜疝的临床效果。方法选取2016年3月至2018年5月,太和县人民医院就诊的74例腹股沟斜疝患儿为研究对象,回顾性分析其临床资料。依据患儿所行手术的不同进行分组,行腹腔镜疝囊高位结扎术者为对照组(36例),观察组(38例)在对照组的基础上联合脐正中襞覆盖内环手术治疗,2组均于术后定期随访3个月。比较2组手术相关指标,如手术时间、术中出血量、术后住院时间等;记录术后随访期间2组并发症发生情况及复发情况。结果观察组手术时间、术后住院时间、术中出血量与对照组比较,差异均无统计学意义(P>0.05)。术后随访期间观察组并发症总发生率显著低于对照组,差异有统计学意义(P<0.05),观察组与对照组复发率比较,差异无统计学意义(P>0.05)。结论腹腔镜疝囊高位结扎联合脐正中襞覆盖内环治疗小儿腹股沟斜疝的临床效果优于传统手术,术后患儿康复较好,并发症发生率较低。

Objective To explore the clinical effect of laparoscopic high ligation of hernia sac combined with medial umbilical fold covering inner ring in the treatment of indirect inguinal hernia in children.Methods The clinical data of 74 children with indirect inguinal hernia in Taihe County People’s Hospital from March 2016 to May 2018 were retrospectively analyzed.According to the different operation of the children,the patients undergoing laparoscopic high ligation of hernia sac were selected as the control group(n=36)and the observation group(n=38)combined with the operation of the umbilical median fold covering inner ring on the basis of the control group,the 2 groups were regularly followed up for 3 months after operation.The operation related indexes,such as operation time,intraoperative bleeding volume,and postoperative hospitalization time of the 2 groups were compared,and the occurrence and recurrence of complications in the 2 groups during the follow-up period were recorded.Results There was no significant difference in operation time,postoperative hospitalization time and intraoperative bleeding between the observation group and the control group(P>0.05).The total incidence and recurrence rate of complications in the observation group were significantly lower than those in the control group during the follow-up period(P<0.05),there was no significant difference in recurrence rate between the observation group and the control group(P>0.05).Conclusion The clinical effect of laparoscopic high ligation of hernia sac combined with umbilical median fold covering inner ring in the treatment of indirect inguinal hernia in children is better than that of traditional operation.The postoperative recovery of the children is better,and the incidence of complications is lower.