两种微创手术方式在小儿腹股沟斜疝治疗中的应用  

Minimally invasive operation in the treatment of indirect inguinal hernia in children

作　　者：丁庆光[1] 李团光[1] 庄博[1] 黄德发[1] 刘冬霞[1] 

机构地区：[1]济宁市第一人民医院,山东济宁272000

出　　处：《现代医学》2015年第5期592-594,共3页Modern Medical Journal

摘　　要：目的:评价小儿腹股沟斜疝的腹腔镜疝囊高位结扎术和腹横纹小切口疝囊高位结扎术两种微创手术方法,以利于临床进行合理选择。方法:对接受这两种手术方式之一的患儿进行随访,在切口大小、手术时间、治疗费用、治疗效果、术后复发等方面进行比较,将变量结果进行统计学分析。结果:行手术且获得随访893例,下腹部小切口手术方式在手术时间、治疗费用方面较腹腔镜组间的差异有统计学意义,但该种手术方式不能排除对侧患病的隐患。结论:腹部小切口手术治疗腹股沟斜疝更具有微创特点,腹腔镜在排除对侧患病隐患和治疗复发性腹股沟斜疝方面更具有优势。Objective： To evaluate the two methods of minimally invasive surgery, so that we can make a reasonable clinical choice. Methods： All the patients who had received minimal surgery either small abdominal incision or laparoseope were followed. We compared all the variables, such as incision size, surgical time, treatment, and postoperative recurrence, and statistically analyzed. Results： Among 935 cases of patients undergoing either one of the two surgeries, 893 cases had been followed up, small abdominal incision surgical approach had more advantages in terms of operative time and cost, but it could not exclude the contralateral hidden trouble. Conclusion： Abdominal incision surgical treatment of inguinal hernia is better than the laparoscope, but the latter has more advantages in excluding contralateral disease risks and treating recurrent inguinal hernia.

关 键 词：腹股沟斜疝 微创治疗 下腹横纹小切口 腹腔镜 

分 类 号：R726.562.1[医药卫生—儿科]