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目的:探讨不同术式治疗小儿腹股沟斜疝的临床效果。方法:本院2012年10月-2014年6月收治的92例小儿腹股沟斜疝患者为研究对象,按照随机数字表法分为对照组和研究组,每组各46例,对照组患儿实施开放式小切口手术,研究组患儿实施腹腔镜疝囊高位结扎术,观察并比较两组患儿的手术时间、术后下床活动时间、住院时间复发以及并发症发生情况。结果:研究组患儿的手术时间、术后下床活动时间、住院时间均短于对照组,两组间差异有统计学意义(P<0.05)。两组患儿均随访1年,对照组的复发率为13.04%,研究组为4.35%,对照组患儿的复发率明显高于研究组,两组间差异有统计学意义(P<0.05)。对照组患儿的并发症发生率为10.9%,明显高于研究组的2.2%,两组间差异有统计学意义(P<0.05)。结论:腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝可降低并发症发生率、缩短手术时间、术后恢复快。
Objective: To investigate the clinical effects of different surgical treatment of children with inguinal hernia. Methods: From October 2012 to June 2014, 92 patients with inguinal inguinal hernia admitted to our hospital from January 2012 to June 2014 were divided into control group and study group according to the random number table method, 46 cases in each group and the control group Open small incision surgery, the study group implemented laparoscopic high ligation of hernia sac, observation and comparison of the two groups of children operating time, ambulation time, hospital stay and complication complications. Results: The operation time, postoperative ambulation time and hospital stay in the study group were shorter than those in the control group. There was significant difference between the two groups (P <0.05). The recurrence rate was 13.04% in the control group and 4.35% in the study group. The recurrence rate in the control group was significantly higher than that in the study group, with significant difference between the two groups (P <0.05) . The incidence of complication in control group was 10.9%, which was significantly higher than that in study group (2.2%), the difference was statistically significant (P <0.05). Conclusion: Laparoscopic high ligation of the hernia sac in children with inguinal hernia can reduce the incidence of complications, shorten the operation time, fast recovery.