三维腹腔镜下注水疝气针疝囊高位结扎术治疗腹股沟斜疝患儿的临床效果观察

Clinical observation of high ligation of inguinal hernia sac with water injection hernia needle under three-dimensional laparoscopy in children with indirect inguinal hernia

目的探讨对腹股沟斜疝予以三维腹腔镜下注水疝气针进行高位结扎疝囊的效果。方法选择2018年1月至2022年4月淮安市涟水县人民医院收治腹股沟斜疝患儿60例,采用随机数字表法分为对照组(常规腹腔镜治疗,30例)与观察组(采用3D腹腔镜辅助治疗,30例),比较两组手术相关指标,治疗前后C反应蛋白(C reactive protein,CRP)、白介素(interleukin,IL)-10等炎症指标,统计并比较两组患者的并发症发生情况。结果观察组患儿的术中诊断时间、手术时间均短于对照组(P<0.05)。两组患儿住院费用及时间,术前、术后CRP、IL-10水平均无显著差异(P>0.05),但两组患者术后CRP、IL-10水平较术前均有显著改善(P<0.05)。两组患者并发症发生率无显著差异(P>0.05)。结论在三维腹腔镜辅助下进行疝气针高位结扎治疗腹股沟斜疝患儿,操作简单且损伤小,且不会延长患者住院时间。

Objective To investigate the effect of high ligation of hernia sac for oblique inguinal hernia and three-dimensional laparoscopic water injection hernia needle.Method Sixty children with indirect inguinal hernia admitted to the People's Hospital of Lianshui County,Huai'an City from January 2018 to April 2022 were randomly divided into a control group(30 cases treated with conventional laparoscopy)and an observation group(30 cases treated with 3D laparoscopy)using a digital table method.The surgical related indicators,C reactive protein(CRP),interleukin(IL)-10,and other inflammatory indicators before and after treatment in the two groups were compared,The incidence of complications in the two groups of patients was statistically analyzed and compared.Result The intraoperative diagnostic time and surgical time in the observation group were shorter than those in the control group(P<0.05).There was no significant difference between the two groups in terms of hospitalization expenses and time,as well as in the levels of CRP and IL-10 after surgery(P>0.05),however,the levels of CRP and IL-10 in both groups of patients after surgery were significantly improved compared to those before surgery(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion High ligation with a hernia needle assisted by three-dimensional laparoscopy in the treatment of children with indirect inguinal hernia is simple and minimally invasive,and does not increase hospital stay.