二种术式在儿童腹股沟疝中的疗效比较  

Clinical efficacy comparison of two procedures for children with groin hernia

作　　者：欧扬[1] 黄俊伟[1] 朱玉林[2] 杨利萍[1] 韩晓军[1] 

机构地区：[1]成都市温江区人民医院普外科,611000 [2]四川省彭州市人民医院

出　　处：《中华疝和腹壁外科杂志（电子版）》2014年第3期40-42,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨腹腔镜辅助高位结扎术治疗儿童腹股沟疝与腹横纹下小切口治疗儿童腹股沟疝的应用比较。方法回顾性分析2009年1月至2011年12月,成都市温江区人民医院收治的儿童腹股沟疝213例,将其随机分为腹腔镜治疗组(A组)和腹横纹下小切口治疗组(B组)。比较二组手术时间、术中出血量、术后康复相关指标及术后1、2 d的疼痛评估。结果二组患儿在手术时间、术中出血量及离床活动时间、住院时间、住院费用、并发症比较差异均无统计学意义(t=0.211、-0.589、-0.488、-0.013、403.619,χ2=0.002,P=0.556、0.833、0.626、0.990、0.001、0.967)。术后1、2 d的疼痛评分差异无统计学意义(χ2=0.045、0.024,P=0.978、0.988)。A组发现对侧隐匿疝10例(9.2%),B组未发现,二组比较,差异均有统计学意义(χ2=11.26,P=0.016)。随访2年,二组均无复发。结论腹腔镜治疗儿童疝和腹横纹下小切口治疗儿童疝都属于微创技术,操作简单,学习曲线短,易掌握,各有优缺点,应因地制宜推广该技术。Objective To compare the clinical effect of laparoscopic high ligation of hernia sac versus abdominal transverse striation small-incision for children with groin hernia.Methods From January 2009 to December 201 1 ,21 3 children with inguinal hernia admitted in Wenjiang People′s Hospital of Chengdu were analyzed retrospectively,and each patient was randomly assigned to one of two groups：laparoscopy group（Group A）and abdominal transverse striation small-incision treatment group （Group B）. Both patient-groups were compared with the operation time,intraoperative blood loss,the indicators relevant to postoperative rehabilitation,and pain assessment during first 2days.Results There was no statistically significant difference between two groups in operation time,blood loss,the time to get out of bed,length of hospital stay,hospital cost,complications（t=0.21 1 ,-0.589,-0.488,-0.01 3,403.61 9,χ2 =0.002, P=0.556,0.833,0.626,0.990,0.001 ,0.967）.No significant difference in the first 2 days pain scores after surgery（χ2 =0.045,0.024,P=0.978,0.988）.1 0 cases of occult hernia were found in contralateral side in Group A and none in Group B,the difference was significant（χ2 =1 1 .26,P=0.01 6）.After 2 years of follow-up,no recurrence was found in both groups.Conclusion Both of two procedures are minimally invasive technique,and there is no superiority of one procedure over the other,they can be recommended equally.

关 键 词：疝 腹股沟 疝修补术 腹腔镜 儿童 

分 类 号：R726.5[医药卫生—儿科]