小儿腹股沟斜疝腹腔镜与开放手术的对比研究  

Clinical study of the laparoscopic and traditional operation for children's indirect inguinal hernia

作　　者：吴志扬[1] 马德奎[1] 曾海峰[1] 陈伯棠[1] 邱昌洪[1] 彭玉维[1] 潘乐[1] 

机构地区：[1]广东省肇庆市第一人民医院普通外科,广东肇庆526021

出　　处：《中国内镜杂志》2007年第7期749-750,758,共3页China Journal of Endoscopy

摘　　要：目的探讨小儿腹股沟斜疝腹腔镜手术的临床应用价值。方法完成微型腹腔镜下小儿腹股沟斜疝结扎术82例,同期行开放手术的小儿腹股沟斜疝88例,将其临床资料进行对比分析。结果对两组间的手术时间、术中出血、术后并发症(阴囊血肿、感染等)、住院天数及住院费用等进行统计分析,显示两组间差异均有显著性(P<0.05)。随访2年显示腹腔镜组出现线结反应1例,无疝复发。对照组复发3例。两组差异无显著意义(P>0.05)。结论该研究显示小儿腹股沟斜疝腹腔镜手术具有微创特点,优于传统手术,可广泛推广应用。[Objective] To explore the clinical value of the laparoscopic operation for children＇s indirect inguinal hernia. [Methods] 82 children with indirect inguinal hernia were performed laparoscopic operation, 88 cases were done with traditional operation at the same time. Their clinical data was summarized, contrasted and analyzed respectively. [Results] There were statistically significant differences in the operative time, bleeding volume, peri-operative complications, hospitalize stay and cost between the laparoscopic group and the traditional group （P 〈0.05）. Follow-up showed that there was a case with switch response and no hernia red recurrence in the laparoscopic group and there were 3 cases with hernia red recurrence in the traditional group. [Conclusion] The study showed the laparoscopic operation for children＇s indirect inguinal hernia has been proved to be more effective and minimal invasive than traditional method and deserves to be popularized widely.

关 键 词：小儿 腹股沟斜疝 腹腔镜 

分 类 号：R656.21[医药卫生—外科学]