腹腔镜手术治疗小儿斜疝临床效果、疼痛度及复发分析

Analysis of Clinical Effect,Pain Degree and Recurrence of Laparoscopic Surgery for the Treatment of Indirect Hernia in Children

目的分析腹腔镜手术治疗小儿斜疝临床效果、疼痛度及复发分析。方法方便选择2020年6月—2021年6月该院收治的小儿斜疝患儿88例,按随机数表分为两组,各44例。对照组采用传统手术,研究组采用腹腔镜手术,比较两组临床效果、疼痛度及复发情况。结果研究组手术用时(17.55±4.38)min、术中出血量(6.85±1.50)mL、首次排气时间(8.55±2.30)h及住院时间(3.20±0.84)d均少于对照组,差异有统计学意义(t=9.403、10.150、10.234、9.709,P<0.05);研究组治疗后疼痛(3.98±0.64)分显著低于对照组,差异有统计学意义(t=11.363,P<0.05);研究组并发症发生率比对照组低,差异有统计学意义(χ^(2)=17.011,P<0.05);研究组疾病复发率明显低于对照组,差异有统计学意义(χ^(2)=5.091,P<0.05)。结论小儿斜疝用腹腔镜手术治疗,可减短手术、首次排气和住院时间,减少术中出血量,缓解疼痛度,能降低疾病复发率,临床上值得推广使用。

Objective To analyze the clinical effect,pain degree and recurrence of laparoscopic surgery for the treat⁃ment of indirect hernia in children.Methods A total of 88 children with indirect hernia who were admitted to the hos⁃pital from June 2020 to June 2021 were conveniently selected and divided into two groups according to the random number table,with 44 cases in each group.The control group was treated with traditional surgery,while the study group was treated with laparoscopic surgery.The clinical effect,pain degree and recurrence were compared between the two groups.Results The operation time(17.55±4.38)min,intraoperative blood loss(6.85±1.50)mL,first exhaust time(8.55±2.30)h and hospital stay(3.20±0.84)d in the study group were all less than those in the control group,and the difference was statistically significant(t=9.403,10.150,10.234,9.709,P<0.05).The pain score in the study group after treatment(3.98±0.64)points was significantly lower than that in the control group,and the difference was statistically significant(t=11.363,P<0.05).The incidence of complication the study group was lower than that in the control group,and the difference was statistically significant(χ^(2)=17.011,P<0.05).The disease recurrence rate in the study group was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=5.091,P<0.05).Conclusion Laparoscopic surgery for indirect hernia in children can shorten the operation,first ex⁃haust and hospital stay,reduce intraoperative blood loss,relieve pain,and reduce the recurrence rate of the disease.It is worthy of clinical application.