改良术式治疗小儿腹股沟斜疝的临床效果及意义  

Clinical Effect and Significance of Modified Surgical Approach for the Treatment of Pediatric Indirect Inguinal Hernia

作　　者：袁妙贤[1] 周小渔[1] 尹强[1] 刘朝阳[1] 戴翼[1] 陈立健[1] 

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《临床医学工程》2015年第11期1483-1484,共2页Clinical Medicine & Engineering

摘　　要：目的探讨改良单孔腹腔镜手术治疗小儿腹股沟斜疝的临床疗效及安全性。方法将我院收治的108例腹股沟斜疝患儿作为研究对象,根据手术方法的不同分为两组各54例,对照组行传统手术,观察组行改良单孔腹腔镜疝囊高位结扎术,对比两组患儿的手术时间、住院时间、切口长度、并发症发生率、复发率等治疗情况。结果观察组患儿的手术时间、住院时间、切口长度均明显少于对照组(P<0.05);观察组患儿术后的感染/睾丸萎缩、切口积血/积液、阴囊水肿发生率均显著低于对照组(P<0.05);观察组术后的止痛药物应用率及复发率均显著低于对照组(P<0.05)。结论改良单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床疗效确切,且具有并发症较少、恢复快、复发率低的优势,值得推广。Objective To explore the clinical effect and significance of modified single port laparoscopic surgery in the treatment of children with indirect inguinal hernia. Methods 108 cases of pediatric indirect inguinal hernia were divided into control group （n = 54, traditional surgery） and observation group （n = 54, modified single port laparoscopic hernia sac high ligation） according to the surgical methods. The operation time, length of hospital stay, incision length, complication rate and recurrence rate were observed. Results The operation time, length of hospital stay and incision length of observation group were significantly shorter than those of control group （P〈0.05）. The incidence of postoperative infection/testicular atrophy, wound hemorrhage/effusion and scrotal edema of observation group was significantly lower than that of control group （P〈0.05）. The postoperative analgesic drug use rate and recurrence rate of observation group were significantly lower than those of control group （P〈0.05）. Conclusions Modified single port laparoscopic hernia sac high ligation has significant effect in treating pediatric indirect inguinal hernia, which has fewer complications, faster recovery and lower recurrence rate.

关 键 词：腹股沟斜疝 小儿 疝囊高位结扎术 改良术式 

分 类 号：R656.21[医药卫生—外科学]