腹腔镜手术治疗小儿腹股沟斜疝的疗效观察

Observation of clinical effect on laparoscopic surgery for indirect inguinal hernia in children

目的探讨腹腔镜手术治疗小儿腹股沟斜疝的临床疗效。方法选取2016年3月~2017年3月收治的100例小儿腹股沟斜疝患儿,随机分为观察组和对照组,每组50例。对照组患儿给予开放手术治疗,观察组患儿给予腹腔镜手术治疗。观察两组手术情况及术后近期并发症情况,术后3、6、12个月门诊复查远期并发症及复发情况。结果观察组平均手术时间短于对照组,术中出血量少于对照组,术后首次排气时间早于对照组,术后住院时间短于对照组,差异有统计学意义(P<0.001);观察组术后阴囊肿胀发生率低于对照组(P<0.05),其余组间比较差异无统计学意义(P>0.05);术后门诊复查,观察组未出现远期并发症,对照组远期并发症发生率为2.0%,两组远期并发症比较无统计学意义(P>0.05);观察组术后未出现复发,对照组复发率为14.0%,两组复发情况比较差异有统计学意义(P<0.05)。结论腹腔镜手术治疗小儿腹股沟斜疝手术创伤小、术后恢复快、并发症发生率与复发率低,临床疗效显著。

Objective To investigate the clinical effect of laparoscopic surgery on indirect inguinal hernia in children. Methods 100 children with indirect inguinal hernia admitted to hospital from March 2016 to March 2017 were randomly divided into observation group and control group,with 50 cases in each group.The control group were treated with open surgery,while the observation group were treated with laparoscopic surgery.The operation condition and short-term complications were observed in the two groups.And the long-term complications and recurrence were reviewed at 3,6 and 12 months after operation. Results The average operation time of the observation group was shorter than that of the control group,the amount of intraoperative blood loss was less,the first exhaust time after operation was earlier,and the hospital stay after the operation was shorter,difference was statistically significant( P <0.001).The incidence of scrotal swelling in the observation group was lower than that in the control group( P <0.05).While difference of other indexes among the two groups was not statistically significant( P >0.05).After operation,outpatient reviews showed that no long-term complications were found in the observation group,and the incidence of long-term complications in the control group was 2.0%,difference was not statistically significant( P >0.05),and no recurrence was found in the observation group,but the recurrence rate in the control group was 14.0%,difference was statistically significant( P <0.05). Conclusion Laparoscopic surgery for indirect inguinal hernia in children has the advantages of small injury,rapid recovery after operation,low incidence of complications and recurrence rate,and remarkable clinical effect.