腔镜改良手术改善小儿较大腹股沟疝阴囊水肿的临床研究

Clinical Study of Modified Lumpectomy to Improve Scrotal Edema of Larger Inguinal Hernia in Pediatric Patients

目的:探讨腔镜改良手术治疗小儿较大腹股沟疝阴囊水肿的效果。方法:回顾收集2018-03-2020-03黄冈市妇幼保健院行疝囊高位结扎术的122例患儿病历资料,依照患儿所行手术方式分为开放术式组(n=61)和腔镜改良组(n=61)。比较2组手术满意度、手术时长、术后疼痛评分、阴囊肿胀发生率及住院时长等指标的差异。结果:与开放术式组比较,腔镜改良组综合满意度高、手术时间短、疼痛评分低、术中出血少、切口长度小、住院时间短,术后各并发症如阴囊水肿、睾丸异位、肠胀气、一年内复发率等发生率更低(P<0.05或P<0.01)。结论:腔镜改良手术治疗小儿较大腹股沟疝可降低并发症发生率,综合满意度高,是治疗小儿较大腹股沟疝的可行、有效术式,值得临床推广应用。

Objective:To investigate the effect of modified endoscopic surgery in the treatment of large inguinal hernia in children.Method:The medical records of 122 children who underwent high ligation of hernia sac from March 2018 to March 2020 were retrospectively collected,and they were divided into open operation group(n=61)and modified endoscopic improvement group(n=61)according to the surgical methods performed.The differences of surgical satisfaction,surgical duration,postoperative pain score,incidence of scrotal swelling and length of hospital stay were compared between the two groups.Results:Compared with the open operation group,the modified endoscopic group had higher overall satisfaction,shorter operation time,lower pain score,less intraoperative bleeding,smaller incision length,shorter hospital stay,and lower incidence of postoperative complications such as scrotal edema,testicular ectopic,intestinal flatus,and recurrence rate within one year(P<0.05 or P<0.01).Conclusion:Modified endoscopic surgery for the treatment of children with large inguinal hernia can reduce the incidence of complications and has high comprehensive satisfaction.It is a feasible and effective operation for the treatment of children with large inguinal hernia,and is worthy of clinical application.