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目的比较腹腔镜疝囊高位结扎术与开放性儿童疝囊高位结扎术的优缺点,评价腹腔镜治疗儿童腹股沟疝的临床价值。方法回顾性分析2011年1月至2012年12月,喀什地区第一人民医院收治的腹股沟疝患儿140例,随机分为二组,观察组行腹腔镜下行儿童疝囊高位结扎术,对照组行开放性疝囊高位结扎术。对二组患儿的手术时间、术中出血量、住院时间、切口感染、术后复发等进行比较。结果腹腔镜组在手术时间、术中出血量、住院时间方面优于开放手术组,差异有统计学意义(t=18.404、15.759、14.216,P=0.001 3、0.000 4、0.008 7)。二组患儿在术后并发症比较,差异无统计学意义(χ2=0.497,P=0.481)。结论腹腔镜下儿童疝囊高位结扎术具有操作简捷、对精索损伤小、术后恢复快、并发症少等优点,是治疗儿童疝的微创术式。
Objective To compare the advantages and disadvantages of high ligation of laparoscopic hernia sac and high ligation of open hernia sac in children and evaluate the clinical value of laparoscopy in treating children with inguinal hernia. Methods Retrospective analysis of 140 cases of inguinal hernia admitted to the First People’s Hospital of Kashi Prefecture from January 2011 to December 2012, were randomly divided into two groups. The observation group underwent laparoscopic high ligation of hernia sac in children and the control group Open hernia sac high ligation. The operation time, intraoperative blood loss, hospitalization time, incision infection and postoperative recurrence were compared between the two groups. Results The laparoscopic group was superior to the open surgery group in operative time, intraoperative blood loss and hospital stay (t = 18.404,15.759,14.216, P = 0.001 3,0.000 4,0.008 7). There was no significant difference in postoperative complications between the two groups (χ2 = 0.497, P = 0.481). Conclusion Laparoscopic high ligation of children’s hernia sac has the advantages of simple operation, small damage to spermatic cord, quick recovery after operation and few complications. It is a minimally invasive surgical treatment of children’s hernia.