腹腔镜下微创手术治疗小儿腹股沟斜疝的安全性研究及对其疼痛的影响

Safety Study of Laparoscopic Minimally Invasive Surgery in the Treatment of Oblique Inguinal Hernia in Children and Its Effect on Its Pain

目的探讨腹腔镜下微创手术治疗小儿腹股沟斜疝的安全性研究及对其疼痛的影响。方法以2021年7月-2022年7月在我院儿科收治的小儿腹股沟斜疝患者为研究对象。根据不同手术方法分为对照组与观察组,每组各50例;对照组给予传统开放小切口手术方法,研究组给予腹腔镜微创手术。观察比较两组患儿的手术时长、切口长度、术中出血量、阴囊血肿情况及住院天数和采用视觉模拟评分法(VAS)对患儿术后疼痛程度进行评估,比较并分析并发症发生情况。结果观察组手术时间、切口长度、术后通气时间、术后活动时间、和住院天数均短于对照组(P值均<0.05),术中出血量显著少于对照组(P值<0.05);两组术后第3天VAS评分均低于同组术后第1天(P值均<0.05),观察组术后第3天VAS评分低于对照组(P值<0.05);随访3个月后,观察组并发症总发生率显著低于对照组(P值<0.05)。结论腹腔镜微创手术治疗小儿腹股沟斜疝创伤小,降低了术后并发症发生率,利于患者术后疾病恢复,值得临床推广。

Objective To investigate the safety study of laparoscopic minimally invasive surgery in the treatment of oblique inguinal hernia in children and its effect on its pain.Methods A patient with oblique inguinal hernia admitted to the pediatric pediatrics in our hospital from July 2021 to July 2022 was the research subject.According to different surgical methods,it was divided into control group and observation group,with 50 cases in each group.The control group was given the traditional open small incision surgery method,and the study group was given laparoscopic minimally invasive surgery.The operation duration,incision length,intraoperative blood loss,scrotal hematoma and hospital stay of the two groups were observed and compared,and the postoperative pain degree of the children was evaluated by visual analogue score(VAS),and the complications were compared and analyzed.Results The operation time,incision length,postoperative ventilation time,postoperative activity time,and hospital stay days in the observation group were shorter than those in the control group(all P<0.05),and the intraoperative blood loss was significantly lower than that in the control group(P value<0.05).The VAS score on the third postoperative day of the two groups was lower than that on the first postoperative day of the same group(both P<0.05),and the VAS score on the third postoperative day of the observation group was lower than that of the control group(P value<0.05).After 3 months of follow-up,the total complication rate in the observation group was significantly lower than that in the control group(P value<0.05).Conclusion Laparoscopic minimally invasive surgery for the treatment of oblique inguinal hernia in children has little trauma,reduces the incidence of postoperative complications,is conducive to the recovery of postoperative diseases,and is worthy of clinical promotion.