论文部分内容阅读
目的探讨应用微切口疝囊高位结扎术治疗小儿疝气的临床效果。方法选取2012年1月—2014年1月重庆市南川区人民医院收治220例小儿腹股沟斜疝患儿作为研究对象,根据入院时间顺序将其分为观察组以及对照组,每组110例。对照组中采用传统手术治疗,观察组采用微切口微切口疝囊高位结扎术治疗。比较两组患儿术后一般指标情况、近期及远期并发症发生率以及术后患儿生理应激和家长心理应激水平。结果观察组患儿手术时间、术中出血量、术后卧床时间、住院天数均明显少于对照组,观察组术后近期并发症的发生率为8.18%(9/110),远期并发症发生率为2.73%(3/110);对照组术后近期和远期并发症发生率分别为15.45%(17/110)、9.09%(10/110),两组差异均有统计学意义(均P<0.05)。观察组患儿血糖以及胰岛素水平、家长的HAMD和HAMA评分均较对照组明显改善,差异有统计学意义(P<0.05)。结论微切口疝囊高位结扎术应用于小儿疝气的治疗可以起到很好的效果,手术创伤小、术后恢复快,缩短了住院时间,术后并发症少。
Objective To investigate the clinical effect of micro-incision hernia sac ligation in pediatric hernia. Methods From January 2012 to January 2014, 220 children with inguinal hernia in infants admitted to Nanchuan District People’s Hospital of Chongqing were enrolled and divided into observation group and control group according to the order of admission, with 110 cases in each group. In the control group, traditional surgical treatment was used. The observation group was treated with micro-incision micro-incision hernia sac high ligation. The general indexes, the incidence of short-term and long-term complications, the physiological stress and the psychological stress of parents after operation were compared between the two groups. Results The operation time, intraoperative blood loss, postoperative bed rest and hospital stay in observation group were significantly less than those in control group. The incidence of postoperative complications in observation group was 8.18% (9/110), long-term complications The incidence of postoperative complications in the control group was 15.45% (17/110) and 9.09% (10/110), respectively, with significant difference between the two groups ( All P <0.05). The blood glucose and insulin levels in the observation group were significantly higher than those in the control group (P <0.05). Conclusion Micro-incision hernia sac high ligation applied to the treatment of children with hernia can play a very good effect, less trauma, postoperative recovery faster, shorter hospital stay, less postoperative complications.