单孔腹腔镜疝气针治疗小儿腹股沟斜疝的临床疗效及安全性研究

Clinical Efficacy and Safety Study of Single Port Laparoscopic Hernia Needle in the Treatment of Pediatric Inguinal Hernia

探讨对于小儿腹股沟斜疝(IIHC)患儿应用单孔腹腔镜疝气针(SPLHN)治疗的疗效、安全性以及对患儿术后炎性水平的影响。以山东淄博市周村区妇幼保健院2021年12月—2023年4月收治的68例儿童腹股沟斜疝患儿为研究对象。并将其随机分为对照组(n=34)和干预组(n=34)两组。其中,对照组实施双孔腹腔镜手术,干预组应用单孔腹腔镜疝气针进行治疗。对比两组患儿术中出血量、切口长度、下床自主活动时间、术后并发症发生率、术后炎性反应程度和血流动力学在不同阶段的变化情况。结果显示,与对照组相比,干预组手术时间、住院时间、切口长度、自主活动时间、术中出血量等相关指标均表现更优(P<0.05),且干预组的术后并发症发生率更低(P<0.05);术后,干预组患儿各项炎症因子指标更低(P<0.05);干预组的显效例数与有效例数更多,总有效率更高(P<0.05)。研究发现,采用单孔腹腔镜疝气针治疗小儿腹股沟斜疝,疗效显著,且操作简便,可显著减轻患儿术后的炎症反应,不会对其血流动力学水平产生显著的负面影响,安全性高,具有较高的临床应用价值。

Exploring the efficacy,safety,and impact on postoperative inflammatory levels of single port laparoscopic hernia needle(SPLHN)treatment for pediatric inguinal hernia(IIHC).The study focuses on 68 children with inguinal hernia admitted to Zhoucun District Maternal and Child Health Hospital in Zibo City,Shandong Province from December 2021 to April 2023.And they were randomly divided into a control group(n=34)and an intervention group(n=34).Among them,the control group underwent double port laparoscopic surgery,while the intervention group received treatment with a single port laparoscopic hernia needle.Compare the changes in intraoperative blood loss,incision length,ambulation time,incidence of postoperative complications,degree of postoperative inflammatory response,and hemodynamics at different stages between two groups of pediatric patients.The results showed that compared with the control group,the intervention group showed better performance in related indicators such as surgical time,hospitalization time,incision length,autonomous activity time,and intraoperative blood loss(P<0.05),and the incidence of postoperative complications was lower in the intervention group(P<0.05);After surgery,the intervention group had lower levels of various infl ammatory factor indicators(P<0.05);The intervention group had more significant and effective cases,and the total effective rate was higher(P<0.05).Research has found that using a single port laparoscopic hernia needle to treat pediatric inguinal hernia has significant therapeutic effects,is easy to operate,can significantly reduce postoperative infl ammatory reactions in children,does not have a significant negative impact on their hemodynamic levels,has high safety,and has high clinical application value.