腹腔镜经脐入路手术治疗小儿斜疝效果评价  

Application in treatment of indirect hernia by laparoscopic through umbilical in children

作　　者：蒲敏[1,2] 陈佳慧[1,2] 杨思芸[1,3] 任明扬[1,2] 黄斌[1,2] 

机构地区：[1]川北医学院第二临床医学院 [2]南充市中心医院疝外科,四川南充637000 [3]南充市中心医院临床药学科,四川南充637000

出　　处：《西部医学》2015年第10期1528-1531,共4页Medical Journal of West China

基　　金：四川省教育厅科研课题(sjwf1401)

摘　　要：目的探讨带操作孔的腹腔镜经脐入路手术治疗小儿疝的可行性。方法回顾分析2008年8月~2014年10月收治的218例腹股沟斜疝手术患儿的临床资料,接受腹腔镜手术者纳入观察组128例,接受传统开放手术者纳入对照组90例。对比两组患儿的手术时间、住院时间、总住院费用、患者家属满意度、术后阴囊肿胀率、切口感染、复发率等情况。结果观察组腹腔镜手术完成率98.5%（128/130）,在手术时间、住院时间、患者家属满意度、术后阴囊肿胀率方面均优于对照组（P〈0.05）,总住院费用及复发率差异无统计学意义（P〉0.05）,两组均无切口感染。结论使用带操作孔的腹腔镜经脐入路治疗小儿腹股沟斜疝操作简单、创伤小、恢复快、并发症少、疗效可靠,不增加住院费用,值得临床推广应用。Objective To investigate the feasibility of laparoscopy with operating hole through umbilical treatment for indirect inguinal hernia in children.Methods 218 children with inguinal hernia were randomly divided into observation group（laparoscopic group）and control group（traditional group）.The operation time,hospitalization time,hospitalization costs,family members satisfaction,scrotal edema,incision infection and recurrence rate were compared between the two groups.Results The observation group operation completion rate was 98.5%（128/130）.The operation time,hospitalization time,family members satisfaction,scrotal edema rate of observation group were better than that of the control group（P〈0.05）.The hospitalization cost and the recurrence rate had no statistical difference（P〈0.05）.No wound infection occurred in two groups.Conclusion The use of laparoscopy with operating hole through umbilical treatment for indirect inguinal hernia in children has the advantages of simple operation,less invasiveness,rapid recovery,fewer complication and reliable curative effect.

关 键 词：小儿 斜疝 经脐入路 腹腔镜术 

分 类 号：R656.21[医药卫生—外科学]