微创手术治疗小儿疝气的效果及对患儿血清CRP、IL-10水平的影响

Effect of Minimally Invasive Surgery on Hernia in Children and Its Effect on Serum CRP and IL-10 Levels

目的:探讨微创手术治疗小儿疝气的效果及对血清指标的影响。方法:选取笔者所在医院2017年4月-2019年5月疝气患儿92例,按随机数字表法分为对照组(45例)和观察组(47例);对照组予以传统手术治疗;观察组予以微创手术治疗。观察两组患儿手术时间、手术切口、术中出血量、术后活动时间、术后禁食时间、住院时间,血清CRP、IL-10水平和并发症情况。结果:治疗后,观察组手术时间、手术切口、术后活动时间、术后禁食时间、住院时间均明显优于对照组(P<0.05)。术中出血量明显少于对照组(P<0.05);观察组C反应蛋白(CRP)、白细胞介素-10(IL-10)水平均明显低于对照组(P<0.05);观察组并发症总发生率(19.15%)明显低于对照组(35.56%),差异有统计学意义(P<0.05)。结论:微创手术可明显缩短小儿疝气术后恢复时间,炎症反应小,术后并发症发生率低,值得临床推广。

Objective:To explore the effect of minimally invasive surgery on hernia in children and its influence on serum indexes.Method:A total of 92 children with hernia from April 2017 to May 2019 were randomly divided into the control group (45 cases) and the observation group (47 cases),the control group was treated with traditional operation,and the observation group was treated with minimally invasive operation.The operation time,incision,intraoperative hemorrhage,postoperative activity time,postoperative fasting time,hospitalization time,serum CRP,IL-10 levels and complications were observed.Result:After treatment,the operation time,incision,activity time,fasting time and hospitalization time in the observation group were significantly better than those in the control group (P<0.05).The amount of intraoperative bleeding was significantly less than that in the control group (P<0.05).The levels of C-reactive protein (CRP) and interleukin-10 (IL-10) in the observation group were significantly lower than those in the control group (P<0.05).The total incidence of complications in the observation group (19.15%) was significantly lower than that of the control group (35.56%),the difference was significant difference (P<0.05).Conclusion:Minimally invasive surgery for pediatric hernia can significantly shorten the postoperative recovery time of children with hernia,with small inflammatory response and low postoperative complications,which is worthy of clinical promotion.