不同疝针在行腹腔镜经皮腹膜外结扎术腹股沟疝患儿中的应用效果比较

Comparison of application effects of different hernia needles in children with inguinal hernia undergoing laparoscopic percutaneous extraperitoneal ligation

目的:比较不同疝针在行腹腔镜经皮腹膜外结扎术腹股沟疝患儿中的应用效果。方法:回顾性分析2019年1月至2022年12月该院收治的85例腹股沟疝患儿的临床资料,按应用的疝针不同将其分为对照组(n=42)和观察组(n=43)。对照组采用单钩疝针腹腔镜经皮腹膜外结扎术治疗,观察组采用双钩疝针腹腔镜经皮腹膜外结扎术治疗,比较两组临床疗效、疾病相关指标水平、疼痛程度[改良儿童疼痛行为评分量表(MPBS)]评分、治疗满意度和并发症发生率。结果:观察组治疗总有效率为96.67%(42/43),高于对照组的80.95%(34/42),差异有统计学意义(P<0.05);观察组手术时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组MPBS评分低于对照组,差异有统计学意义(P<0.05);观察组治疗满意度高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:双钩疝针腹腔镜经皮腹膜外结扎术治疗腹股沟疝患儿可提高治疗总有效率和治疗满意度,降低疾病相关指标水平、MPBS评分和并发症发生率,其效果优于单钩疝针腹腔镜经皮腹膜外结扎术治疗。

Objective:To compare application effect of different hernia needles in children with inguinal hernia undergoing laparoscopic percutaneous extraperitoneal ligation.Methods:The clinical data of 85 children with inguinal hernia admitted to this hospital from January 2019 to December 2022 were retrospectively analyzed.According to the different hernia needles used,they were divided into control group(n=42)and observation group(n=43).The control group was treated with single hook hernia needle laparoscopic percutaneous extraperitoneal ligation,while the observation group was treated with double hook hernia needle laparoscopic percutaneous extraperitoneal ligation.The clinical efficacy,the diseaserelated indicator levels,the pain degree[modified children’s pain behavior scale(MPBS)]score,the treatment satisfaction,and the incidence of complications were compared between the two groups.Results:The total effective rate of treatment in the observation group was 96.67%(42/43),which was higher than 80.95%(34/42)in the control group,and the difference was statistically significant(P<0.05).The operation time and the hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).The MPBS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The treatment satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions:The double hook hernia needle laparoscopic percutaneous extraperitoneal ligation in the treatment of the children with inguinal hernia can improve the total effective rate and the treatment satisfaction,and reduce the levels of disease-related indicators,the MPBS scores and the incidence of complications.Moreover,it is superior to single hook hernia needle laparoscopic percutaneous extraperitoneal ligation.