腹腔镜下疝修补术对腹股沟疝患儿的影响

Effect of Hernia Repair Surgery under Laparoscopy on Children with Inguinal Hernia

目的:探讨腹腔镜下疝修补术对腹股沟疝患儿的影响。方法:选取2021年2月—2023年7月黔西市人民医院收治的600例腹股沟疝患儿。根据随机数表法将其分为观察组和对照组,各300例。对照组给予传统开腹疝修补术,观察组给予腹腔镜下疝修补术。比较两组围手术期指标,术前及术后24 h炎症因子、生理应激指标及并发症。结果:观察组手术时间、下床活动时间、住院时间均短于对照组,术后24 h视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。术后24 h,观察组白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平均低于对照组,差异有统计学意义(P<0.05)。术后24 h,观察组促肾上腺皮质激素(ACTH)、皮质醇(Cor)、去甲肾上腺素(NE)、舒张压(DBP)、收缩压(SBP)水平均低于对照组,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:腹腔镜下疝修补术用于腹股沟疝患儿中效果显著,手术时间、术后住院时间短,且对机体创伤更小、疼痛更轻,且并发症少。

Objective:To investigate the effect of hernia repair surgery under laparoscopy on children with inguinal hernia.Method:A total of 600 children with inguinal hernia treated in Qianxi City People's Hospital from February 2021 to July 2023 were selected.They were divided into observation group and control group according to random number table method,300 cases in each group.The control group received traditional open hernia repair surgery,and the observation group received hernia repair surgery under laparoscopy.Perioperative indexes,preoperative and postoperative 24 h inflammatory factors,physiological stress indexes and complications were compared between the two groups.Result:The surgery time,getting out of bed for activity time and hospitalization time of the observation group were shorter than those of the control group,and the visual analogue scales(VAS)score at 24 h after surgery was lower than that of the control group,the differences were statistically significant(P<0.05).After 24 h of surgery,the levels of interleukin-6(IL-6),C-reactive protein(CRP)and tumor necrosis factor-α(TNF-α)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After 24 h of surgery,the levels of adrenocorticotropin(ACTH),cortisol(Cor),norepinephrine(NE),diastolic blood pressure(DBP)and systolic blood pressure(SBP)in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Hernia repair surgery under laparoscopy is effective in children with inguinal hernia,with shorter operation time and postoperative hospital stay,less trauma to the body,less pain,and fewer complications.