腹腔镜下疝气针无损伤腹膜疝囊高位结扎术治疗小儿腹股沟斜疝的临床研究

Clinical study of laparoscopic high ligation of peritoneal hernia sac without injury of hernia needle in the treatment of indirect inguinal hernia in children

目的探讨腹腔镜下疝气针无损伤腹膜疝囊高位结扎术治疗小儿腹股沟斜疝的临床价值。方法选取2018年1月至2019年6月高州市妇幼保健院收治的90例腹股沟斜疝患儿,随机分为传统手术(A组)、疝气针+腹腔镜(B组)、腹腔镜(C组)各30例。A组给予传统疝囊高位结扎术治疗,B组给予腹腔镜下行疝气针无损伤腹膜疝囊高位结扎术治疗,C组给予腹腔镜下疝囊高位结扎术治疗,观察三组手术情况、术后恢复情况及并发症发生情况。结果A组较B组、C组手术时间长,且并发症发生率高,差异有显著性(P<0.05);三组切口长度、术中出血量、自主活动时间、住院时间比较,B组结果优于A、C组,A组结果最差,差异有显著性(P<0.05)。结论腹腔镜下疝气针无损伤腹膜疝囊高位结扎术治疗小儿腹股沟斜疝具有快捷、微创、安全等优点,可显著促进患儿术后身体康复。

Objective To investigate the clinical value of laparoscopic high ligation of hernia sac without injury by hernia needle in the treatment of indirect inguinal hernia in children.Methods 90 children with indirect inguinal hernia admitted to Gaozhou Maternal and Child Health Hospital from January 2018 to June 2019 were randomly divided into traditional operation(group A),hernia needle+laparoscopy(group B)and laparoscopy(Group C)with 30 patients of each group.Group A was treated with traditional high ligation of hernia sac,group B was treated with laparoscopic high ligation of hernia needle without injury of peritoneal hernia sac,and group C was treated with laparoscopic high ligation of hernia sac.Results The operation time of group A was longer than that of group B and group C,and the incidence of complications was higher,the difference was significant(P<0.05);The incision length,intraoperative blood loss,autonomous activity time and hospitalization time of the three groups were compared.The results of group B were better than those of group A and group C,and the results of group A were the worst,with significant difference(P<0.05).Conclusion Laparoscopic high ligation of hernia sac without injury of hernia needle in the treatment of indirect inguinal hernia in children has the advantages of fast,minimally invasive and safe,which can significantly promote the physical rehabilitation of children after operation.