腹腔镜下腹股沟高位结扎术与小切口技术在小儿斜疝中的治疗效果对比研究

Comparative Study of Laparoscopic High Ligation of Groin and Small Incision Technique in the Treatment of Indirect Hernia in Children

目的:探究腹腔镜下腹股沟高位结扎术与小切口技术在小儿斜疝中的治疗效果对比。方法:研究为回顾性研究,选取自2019年1月至2022年1月收治我院小儿外科的148例小儿斜疝患儿为研究对象,根据手术方案的不同分成2组:腹腔镜组56例,选择腹腔镜下腹股沟高位结扎术,其中男孩49例,女孩7例。小切口组92例,选择小切口微创技术,其中男孩81例,女孩11例。收集患儿的一般资料,手术相关资料和术后并发症的发生率。结果:2组患儿的一般资料比较无统计学差异(P > 0.05),可以进行组间比较。腹腔镜组患儿的手术时间,麻醉时间要明显短于小切口组(P < 0.05),手术切口明显短于小切口组(P < 0.05),术后恢复时间和术后住院时间明显短于小切口组(P < 0.05)。腹腔镜组患儿的复发率,腹胀,阴囊肿胀和继发鞘膜积液发生率明显低于小切口组(P < 0.05)。结论:腹腔镜下腹股沟高位结扎术治疗小儿斜疝效果肯定,值得进一步推广和应用。

Objective: To compare the effect of laparoscopic high ligation of groin and small incision technique in the treatment of indirect hernia in children. Methods: The study was a retrospective study. 148 children with indirect hernia who were admitted to the pediatric surgery department of our hospital from January 2019 to January 2022 were selected as the research objects. According to the different operation schemes, they were divided into two groups: 56 cases in the laparoscopic group were treated with laparoscopic high ligation of the groin, including 49 boys and 7 girls. In the small incision group, 92 cases were treated with small incision minimally invasive technique, including 81 boys and 11 girls. The general data, operation related data and the incidence of postoperative complications were collected. Results: There was no significant difference in the general data be-tween the two groups (P > 0.05). The operation time and anesthesia time of children in the laparoscopic group were significantly shorter than those in the small incision group (P < 0.05), the operation incision was significantly shorter than those in the small incision group (P < 0.05), and the postoperative recovery time and postoperative hospital stay were significantly shorter than those in the small incision group (P < 0.05). The recurrence rate, abdominal distension, scrotal swelling and secondary hydrocele in the laparoscopic group were significantly lower than those in the small incision group (P < 0.05). Conclusion: The laparoscopic high ligation of groin in the treatment of indirect hernia in children is effective and worthy of further promotion and application.