小儿疝气运用传统手术和腔镜下手术治疗的临床价值探讨

The Clinical Value of Traditional Surgery and Endoscopic Surgery in Treatment of Hernia in Children

目的:分析传统手术及腔镜下手术对小儿疝气的临床治疗价值。方法:选取2017年5月-2018年5月在笔者所在医院就医的90例疝气患儿,根据手术方式不同分为两组,每组45例。研究组以腔镜作为辅助开展微创手术治疗,对照组接受传统手术治疗,对比两组手术基本情况、术后并发症发生率及复发率。结果:研究组手术切口小于对照组,手术时长、下床用时、住院用时均短于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率为4.44%,低于对照组的17.78%,差异有统计学意义(P<0.05);研究组复发率为2.22%,对照组为11.11%,两组比较差异无统计学意义(P>0.05)。结论:腔镜下手术治疗小儿疝气效果显著,预后好,安全性高,值得推广应用。

Objective:To analyze the clinical value of traditional surgery and endoscopic surgery in treatment of pediatric hernia.Method:Ninety children with hernia who were hospitalized in the author’s hospital from May 2017 to May 2018 were selected,according to different surgical methods,the patients were divided into two groups,with 45 patients in each group.The study group received minimally invasive surgery assisted by endoscopy,while the control group received conventional surgery.The basic operation situation,postoperative complication rate and recurrence rate of the two groups were compared.Result:The surgical incision in the study group was smaller than that in the control group,and the duration of operation,time of getting out of bed,and time of hospitalization were shorter than those in the control group,the differences were statistically significant(P<0.05).The complication rate in the study group was 4.44%,lower than that in the control group(17.78%),the difference was statistically significant(P<0.05).The recurrence rate was 2.22%in the study group and 11.11%in the control group,and there was no statistically significant difference between the two groups(P>0.05).Conclusion:Endoscopic surgery for children with hernia is superior to traditional surgery in overall rehabilitation effect,with better prognosis and higher safety in application.