单孔腹腔镜与腹横纹切口手术治疗儿童腹股沟斜疝的对比研究  

Efficacy analysis of single-port laparoscopic hernia repair and open hernia repair in children with inguinal hernia

作　　者：付焱[1] 李恒[1] 黄东[1] 刘全[1] 

机构地区：[1]湖北医药学院附属太和医院普外科,十堰442000

出　　处：《中华疝和腹壁外科杂志（电子版）》2014年第6期29-31,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨采用单孔腹腔镜疝囊高位结扎术与传统腹横纹切口手术治疗儿童腹股沟斜疝患者的临床效果。方法回顾性分析2012年3月至2014年3月,湖北医药学院附属太和医院就诊的腹股沟斜疝患儿600例,随机分为二组。观察组380例,采用经脐单孔腹腔镜疝囊高位结扎术进行治疗;对照组220例,采用传统腹横纹切口疝囊高位结扎术进行治疗。比较二组患儿的术中、术后恢复情况及术后并发症。结果观察组与对照组比较,切口较小,手术时间及住院时间短,二组差异有统计学意义(t=2.343、2.451、2.472,P均<0.05)。观察组住院费用、术后并发症发生率、复发率均低于对照组,二组比较差异有统计学意义(t=2.507,χ2=6.435、30.746,P均<0.05)。结论腹腔镜疝囊高位结扎术具有切口小、创伤小、术后康复快、手术时间及住院时间短、安全可靠等优点,术中可同时发现并处理对侧腹股沟区隐匿性疝,可以作为一种安全有效的方法在临床推广应用。Objective To investigate the clinical effect of single-port laparoscopic high ligation of hernia sac and traditional operation therapy for pediatric indirect inguinal hernia. Methods A total of 600 cases with indirect inguinal hernia were collected from March 2012 to March 2014 in TaiHe Hospital, Hubei University of Medicine. They were randomly divided into two groups： 380 cases in the observation group underwent the singleport laparoscopic high ligation of hernia sac, and 220 cases were treated by the traditional operations as the control group. The postoperative recovery and complications of two groups were compared. Results The incisional size of the single-port laparoscopic group was significantly smaller than that of control group（t =2. 343 ,P 〈0.05）. The operation time and hospitalization time were also shorter in the observation group than in the control group, and the differences were statistically significant （t = 2. 451, 2. 472, All P 〈 0.05） ; the hospitalization expense, postoperative complications and the recurrence rate of the observation group were lower than those of the control group, and the differences between the two groups were statistically significant （t =2.507,x^2 =6. 435,30. 746, All P 〈0.05）. Conclusios Single-port laparoscopic inguinal hernia repair in children is associated with smaller incision, less trauma, quicker recovery, shorter operative time and hospital stay. Laparoscopic repair can also help to diagnose and deal with contralateral occult hernia. It has been shown as a safe and effective procedure in clinical practice.

关 键 词：疝 腹股沟 外科手术 微创性 儿童 

分 类 号：R726.5[医药卫生—儿科]