腹腔镜手术治疗儿童腹股沟嵌顿性斜疝的临床分析  

CLINICAL ANALYSIS OF LAPAROSCOPIC OPERATION IN THE TREATMENT OF CHILDREN WITH INCARCERATED OBLIQUE INGUINAL HERNIA

作　　者：叶安[1] 张生格[1] 阮开容[1] 

机构地区：[1]珠海市妇幼保健院,广东珠海519000

出　　处：《现代医院》2015年第5期67-68,共2页Modern Hospitals

摘　　要：目的探讨腹腔镜手术治疗儿童腹股沟嵌顿性斜疝的临床效果。方法回顾性分析2012年2月~2014年6月间运用腹腔镜手术治疗急诊儿童腹股沟嵌顿性斜疝30例（观察组）,同期行传统手术治疗急诊儿童腹股沟嵌顿性斜疝30例（对照组）的临床资料,对比二组患儿的手术时间、切口长度、术后并发症、住院费用等数据,并进行统计分析。结果腹腔镜手术组的平均手术时间、术中出血量、切口长度、住院费用均低于传统手术组。随访6个月两组均无复发。结论腹腔镜手术治疗儿童腹股沟嵌顿性斜疝具有快速、切口美观、并发症少、能准确判断嵌顿组织活性、可发现对侧隐匿疝并处理、复发率不高于传统手术的优势,值得推广应用。Objective To explore the clinical effect of laparoscopic operation in the treatment of children with incarcerated oblique inguinal hernia. Methods 60 cases of children with incarcerated oblique inguinal hernia in our hospital from February 2012 to June 2014 were retrospectively analyzed. 30 children undergoing laparoscopic operation were set as the observation group and 30 other patients undergoing traditional emergency operation as the control group. The two groups were compared in terms the operation time,incision length,postoperative complications,hospitalization expenses and other data. Results The average operation time,bleeding quantity,length of incision,and hospitalization expenses in the observation group were lower than those of the control group. 6 months of follow-up showed no recurrence in the two groups. Conclusion Laparoscopic operation in the treatment of children with incarcerated oblique inguinal hernia is characterized by fast surgery,minimal incision,less complications,accurate determination of the incarcerated tissue activity,visibility of the side occult hernia and lower recurrence rate. Therefore,it is worthy of promotion and application.

关 键 词：腹股沟嵌顿性斜疝 儿童 腹腔镜 

分 类 号：R656.21[医药卫生—外科学]