双孔与单孔腹腔镜疝修补术治疗儿童腹股沟疝的对比分析

Comparison of double-site laparoscopic hernia repair and single-site laparoscopic hernia repair in minimally invasive treatment of inguinal hernia in children

目的比较双孔腹腔镜疝修补术(DSLH)与单孔腹腔镜疝修补术(SSLH)在儿童腹股沟疝微创治疗中的疗效。方法选取2012年12月至2015年12月间广东医科大学附属医院收治且经B超检查确诊的腹股沟疝患儿178例作为研究对象。其中89例接受DSLH治疗为DSLH组,89例接受SSLH治疗为SSLH组。比较两组患儿的治疗效果(手术时间、术中出血量、住院时间、术后下床活动时间、复发率)以及术后并发症的发生情况。结果相较DSLH组,SSLH组的手术时间、住院时间显著缩短(t=3.814、4.413,均P<0.001),术后下床活动时间更早(χ^2=113.51,P<0.001),术中出血量少(t=4.012,P<0.001);但是两组患儿的复发率及术后并发症的发生率差异无统计学意义(χ^2=1.006、0.339,P=0.316、0.560)。结论 SSLH较DSLH治疗效果更好,值得临床推广应用。

Objective To compare the efficacy of double-site laparoscopic hernia repair(DSLH with single-site laparoscopic hernia repair(SSLH) in minimally invasive treatment of inguinal hernia in children. Methods A total of one hundred and seventy-eight children with inguinal hernia in the Affiliated Hospital of Guangdong Medical University from December 2012 to December 2015 who were confirmed by ultrasound examination were enrolled in this study. Among them, 89 patients who underwent DSLH were divided as the DSLH group, and the other 89 patients underwent SSLH treatment as the SSLH group. The treatment outcomes of the two groups(operation time, intraoperative blood loss, length of hospital stay, offbed time, recurrence rates) and the occurrence rate of surgical complications were compared. Results In SSLH group, the operation time, hospitalization time, and off-bed time were significantly shortened(t=3.814,4.413,χ^2=113.510, all P<0.001), and the amount of intraoperative blood loss was reduced significantly than the patients in the DSLH group(t=4.012,P<0.001). However, there was no significant difference in the incidence of recurrence and surgical complications between the two groups(χ^2=1.006, 0.339, P=0.316,0.560). Conclusion SSLH can achieve better efficacy than DSLH and it is worthy of clinical application.