单孔腹腔镜与传统开放手术治疗小儿腹股沟斜疝的效果

Effect of Single-Port Laparoscopy and Traditional Open Surgery in Treatment of Indirect Inguinal Hernia in Children Yang Song

目的:探究对小儿腹股沟斜疝患儿运用单孔腹腔镜与传统开放手术治疗的临床效果。方法:选取2018年1月-2021年6月涟水县第三人民医院收治的62例小儿腹股沟斜疝患儿作为研究对象,随机分为观察组和对照组,各31例。对照组应用传统开放手术治疗,观察组应用单孔腹腔镜治疗。比较两组视觉模拟量表(VAS)评分、言语反应量表(VRS)评分、现实疼痛强度量表(PPI)评分、疾病复发率及相关症状评分情况。结果:观察组VAS、VRS、PPI评分均低于对照组,差异有统计学意义(P<0.05)。观察组疾病复发率低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组腹胀、恶心、呕吐评分均低于对照组,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具有显著效果,与传统开放手术相比,腹腔镜手术术中可及时发现对侧隐形疝,术后并发症少,恢复快,几乎无手术瘢痕,美观且安全性高,容易被患者及家属接受,值得在临床中进一步推广使用。

with indirect inguinal hernia.Methods:A total of 62 pediatric inguinal hernia patients admitted to the Third People’s Hospital ofLianshui County from January 2018 to June 2021 were selected as the study subjects and randomly divided into observation groupand control group with 31 cases in each group.The control group was treated with traditional open surgery,and the observationgroup was treated with single-port laparoscopy.The Visual Analog Scale(VAS)score,Verbal Response Scale(VRS)score,PresentPain Intensity Scale(PPI)score,disease recurrence rate and related symptom scores were compared between the two groups.Results:The VAS,VRS and PPI scores of the observation group were lower than those of the control group,and the difference wasstatistically significant(P<0.05).The disease recurrence rate in the observation group was lower than that in the control group,andthe difference was statistically significant(P<0.05).After treatment,the scores of abdominal distension,nausea and vomiting in theobservation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic surgery has a significant effect on the treatment of indirect inguinal hernia in children.Compared with traditionalopen surgery,laparoscopic surgery can detect the contralateral invisible hernia in time,with fewer postoperative complications,faster recovery,almost no surgical scars,beautiful appearance and high safety.It is easily accepted by patients and their families,and is worthy of further promotion and use in clinical practice.