腹腔镜与传统手术在小儿疝气治疗中的临床效果分析

Clinical effect analysis of laparoscopy and traditional surgery in the treatment of hernia in children

目的研究比较在小儿疝气治疗中行腹腔镜与传统手术治疗的效果。方法选取60例小儿疝气患儿作为研究对象,按照随机数字表原则分为对照组(30例)和观察组(30例)。对照组行传统手术治疗,观察组行腹腔镜手术治疗。对比两组患儿手术相关指标,生存质量评分,并发症发生情况,临床疗效。结果观察组术中出血量、手术时间、术后活动时间、术后肛门排气时间、住院时间分别为(2.05±0.73)ml、(14.52±2.52)min、(9.85±2.32)h、(5.47±1.31)h、(4.92±1.79)d,对照组分别为(5.29±1.64)ml、(25.17±4.33)min、(20.14±3.96)h、(8.83±2.04)h、(7.76±2.02)d;与对照组患儿比较,观察组患儿手术时间、住院时间、术后活动时间及术后肛门排气时间更短,术中出血量更少(P<0.05)。观察组患儿的精神、疼痛、睡眠、食欲、日常生活评分分别为(52.85±3.71)、(53.41±2.72)、(54.30±3.03)、(55.29±2.17)、(52.73±3.85)分,对照组分别为(40.94±4.02)、(45.09±3.11)、(47.06±3.58)、(46.40±2.43)、(45.13±3.91)分;与对照组患儿对比,观察组患儿的精神、疼痛、睡眠、食欲、日常生活评分更高(P<0.05)。观察组和对照组患儿并发症发生率分别为6.67%、26.67%,观察组更低(P<0.05)。观察组患儿总有效率(96.67%)比对照组(76.67%)更高(P<0.05)。结论在小儿疝气治疗中,相比传统手术治疗,腹腔镜手术治疗效果更为理想,此术式创伤性更低,利于患儿术后康复,安全性较高,推广可行性较高。

Objective To study and compare the effect of laparoscopy and traditional surgery in the treatment of hernia in children.Methods A total of 60 children with hernia were selected as the research subjects and divided into a control group(30 cases)and an observation group(30 cases)according to random numerical table.The control group was treated with traditional surgery,and the observation group was treated with laparoscopic surgery.The surgery-related indicators,quality of life score,complications and clinical efficacy were compared between the two groups.Results In the observation group,the intraoperative blood loss,operative time,postoperative activity time,postoperative anal exhaust time and hospital stay were(2.05±0.73)ml,(14.52±2.52)min,(9.85±2.32)h,(5.47±1.31)h and(4.92±1.79)d,and those in the control group were(5.29±1.64)ml,(25.17±4.33)min,(20.14±3.96)h,(8.83±2.04)h and(7.76±2.02)d.Compared with the control group,the operative time,hospital stay,postoperative activity time and postoperative anal exhaust time in the observation group were shorter,and the intraoperative blood loss was less(P<0.05).The scores of spirit,pain,sleep,appetite and daily life in the observation group were(52.85±3.71),(53.41±2.72),(54.30±3.03),(55.29±2.17)and(52.73±3.85)points,and those in the control group were(40.94±4.02),(45.09±3.11),(47.06±3.58),(46.40±2.43)and(45.13±3.91)points.Compared with the control group,the scores of spirit,pain,sleep,appetite and daily life in the observation group were higher(P<0.05).The incidence of complications was 6.67%in the observation group and 26.67%in the control group,and the incidence was lower in the observation group(P<0.05).The total effective rate of the observation group(96.67%)was higher than that of the control group(76.67%)(P<0.05).Conclusion Compared with traditional surgical treatment,laparoscopic surgery is more effective in the treatment of hernia in children.This operation is less invasive,conducive to postoperative rehabilitation of children,with high safety and high feasibility of promotion.