腹腔镜治疗小儿腹股沟疝的临床价值  

The clinical significance of laparoscopic treatment of inguinal hernia for children

作　　者：刘玉海[1] 张运歆[1] 涂丛银[1] 汪宏[1] 

机构地区：[1]合肥市第一人民医院,安徽合肥230061

出　　处：《腹腔镜外科杂志》2009年第7期518-520,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨应用腹腔镜治疗小儿腹股沟疝的临床价值。方法:回顾分析同期腹腔镜治疗小儿腹股沟疝62例与传统开放手术88例的临床资料,比较两组的手术时间、术中出血量、术后自主活动时间、住院时间、住院费用、隐性疝的发现及并发症等,分析腹腔镜治疗小儿腹股沟疝与传统手术治疗的优缺点。结果:腹腔镜组在手术时间、术中出血量、术后自主活动时间、住院时间、发现隐性疝及术后并发症方面明显优于传统组,差异有统计学意义(P<0.05),两组住院费用差异无统计学意义(P>0.05)。结论:腹腔镜治疗小儿腹股沟疝,具有操作简捷、手术损伤小、术后康复快、并发症少等优点,在诊治隐性疝和双侧疝方面尤有优势。Objective： To study the clinical significance of laparoscopic treatment for inguinal hernia in children. Methods： The clinical data of 62 children with inguinal hernia underwent laparoscopic treatment and 88 cases of classic open operation were retrospectively analyzed. The time of operation, operative blood loss, the time of postoperative free activities, hospitalization, cost, detecting of inapparent hernia and complications between two groups were compared. The advantages and shortcoming of laparoscopy and classic operation in the treatment of children＇s inguinal hernia were analyzed. Results： The time of operation,operative blood Ross ,the time of postoperative free activities,hospitalization, detecting of inapparent hernia and complications in laparoscopic group were much better than classic group, the difference was significant （ P 〈 0. 05 ）. The difference of cost between two groups was not significant （ P 〉 0.05 ）. Conclusions：There are a lot of advantages in laparoscopy for the treatment of children＇s inguinal hernia, such as simple operation, small injury, fast postoperative recovery and little complication, and especially with great superiority in diagnosing and treating inapparent hernia and bilateral hernia.

关 键 词：腹腔镜术 疝 腹股沟 儿童 

分 类 号：R726.5[医药卫生—儿科]