开放手术与腹腔镜手术治疗小儿腹股沟斜疝嵌顿的疗效比较  

Comparison of Open Surgery and Laparoscopic Treatment for Pediatric Incarcerated Inguinal Oblique Hernia

作　　者：刘华明[1] 杨海[1] 郑斌[1] 陈伟玉[1] 

机构地区：[1]梅州市人民医院小儿外科,广东梅州514031

出　　处：《实用临床医学（江西）》2015年第6期70-72,共3页Practical Clinical Medicine

摘　　要：目的对比开放与腹腔镜手术治疗小儿腹股沟斜疝嵌顿的效果。方法回顾性分析195例小儿腹股沟斜疝嵌顿患儿的临床资料,将2000年1月至2005年12月行开放手术的59例作为开放组,2005年1月至2012年12月行腹腔镜手术的136例为腹腔镜组,比较2组患儿手术时间、术中出血量、住院时间、手术成功率、合并症发生率及术区的外观美感。结果腹腔镜组手术时间、合并症发生率少于开放组,术区的外观美感优于开放组,手术成功率高于开放组(P<0.05);2组住院时间、术中出血量差异无统计学意义(P>0.05)。结论与开放手术相比,腹腔镜下治疗小儿腹股沟斜疝嵌顿具有临床疗效好、手术时间短、损伤小、恢复快、切口疤痕小、可同时处理对侧病变(隐睾或隐性疝)的优点。ABSTRACT:Objective To compare the curative effects of open surgery and laparoscopic treat-ment on pediatric incarcerated inguinal oblique hernia.Methods A retrospective analysis was per-formed in 59 cases of pediatric incarcerated inguinal oblique hernia who received open surgery be-tween January 2000 and December 2005 and 136 cases of pediatric incarcerated inguinal oblique hernia who received laparoscopic surgery between January 2005 and December 2012.Clinical effi-cacy,operation time,aesthetic appearance,blood loss and postoperative hospital stay were com-pared between the two groups.Results Compared with open surgery group,the clinical efficacy, operation time and aesthetic appearance were significantly improved in laparoscopic surgery group (P <0.05).No significant differences in intraoperative blood loss and postoperative hospital stay were found between the two groups (P >0.05).Conclusion Laparoscopic surgery results in bet-ter clinical efficacy,shorter operation time,smaller trauma,faster recovery and small incision scar than open surgery for pediatric incarcerated inguinal oblique hernia.Furthermore,laparoscopic surgery can simultaneously treat the contralateral lesions (cryptorchidism or hidden hernia).

关 键 词：腹股沟斜疝嵌顿 开放手术 腹腔镜 小儿 

分 类 号：R726.5[医药卫生—儿科]