腹腔镜与开放式手术治疗小儿疝的对比研究  

Comparative study on laparoscopic and open hernia sac high ligation for pediatric hernia

作　　者：孙中伟[1] 沈海玉[1] 李戈[1] 孙少川[1] 孟岩 

机构地区：[1]山东大学附属济南市中心医院胃肠外科,250013 [2]山东大学附属济南市中心医院手术室,250013

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第5期55-57,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的前瞻性对比研究开放式手术和腹腔镜手术治疗小儿腹股沟疝的临床疗效。方法采用随机分组方法将山东大学附属济南市中心医院2011年7月至2013年6月收治的小儿疝分为开放式手术组(A组126例)和腹腔镜手术组(B组126例)。比较二组之间手术时间、手术费用、住院天数、阴囊水肿、复发率、医源性睾丸回缩、医源性睾丸萎缩等指标。结果二组在复发率、睾丸萎缩、睾丸回缩、住院时间比较,差异无统计学意义;A组阴囊水肿发生率、手术时间高于B组,住院费用低于B组,差异有统计学意义。结论腹腔镜疝囊高位结扎术可作为小儿疝优选术式。Objective To prospectively compare the clinical effects of traditional surgical procedure and laparoscopic hernia sac high ligation. Methods From July 2011 to June 2013,the cases of pediatric hernias in Jinan Central Hospital affiliated to Shandong University were randomly divided into two groups：traditional surgical treatment（ group A,n = 126） and laparoscopic hernia sac high ligation（ group B,n =126）. Then compare a series of indexes to evaluate operative effects,including operation time,operation payment,hospitalization time,scrotal edema,recurrence rate,iatrogenic retraction and atrophy of testis.Results Compared with group A,group B had shorter operation time,lower rate of scrotal edema. The incidence of recurrence,hospitalization time,retraction and atrophy of testis had no significant difference between two groups,but group B had higher operation payment. Conclusion Laparoscopic hernia sac high ligation is an optimal way of operation for pediatric hernia.

关 键 词：疝 腹股沟 腹腔镜检查 儿童 

分 类 号：R726.5[医药卫生—儿科]