单双孔腹腔镜治疗小儿腹股沟疝的效果比较  

Comparison of single and two-port laparoscopic treatment of pediatric inguinal hernia

作　　者：李会玲[1] 向承红[1] 李晓霞[2] 

机构地区：[1]首都医科大学附属北京朝阳医院(京西院区)手术室,北京100043 [2]首都医科大学附属北京朝阳医院(京西院区)疝和腹壁外科,北京100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第3期211-213,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨单孔腹腔镜与双孔腹腔镜治疗小儿腹股沟疝的临床疗效。方法回顾性分析2014年1月至2016年1月,首都医科大学附属北京朝阳医院疝和腹壁外科收治的腹股沟斜疝患儿820例的临床资料,根据手术方式分为2组,单孔腹腔镜组(观察组)480例,双孔腹腔镜组(对照组)340例,比较2组各项临床指标。结果单孔腹腔镜手术治疗的患儿各项临床指标效果均优于双孔腹腔镜手术治疗的患儿,差异有统计学意义(P<0.05)。2组均术后随访1年,单孔腹腔镜组无1例复发,双孔腹腔镜组复发1例;单孔腹腔镜组术后未发生并发症,双孔腹腔镜组术后发生并发症1例。结论单孔腹腔镜与双孔腹腔镜治疗小儿腹股沟斜疝相比,更省时、省力,创伤小,恢复快,瘢痕细微,术后复发率低,值得进一步推广。Objective To investigate the clinical efficacy of single-port and two-port laparoscopic treatment of inguinal hernia in children. Methods From January 2014 to January 2016,a total of 820 cases of pediatric indirect inguinal hernia in Beijing Chao-Yang Hospital were enrolled in the retrospective study. These patients were divided into observation group and control group, according to the operation method used： 480 cases received single-port laparoseopie repair, and 340 patients had two-port laparoscopic repair. The clinical indicators of the two groups were compared. Results The clinical efficacy parametersin single- port laparoscopic groupweresuperio~＂ to those in two-port laparoscopic group. Both groups were followed up for 1 year, there was no recurrence in single-port laparoscopic group; but 1 case in two-port laparoscopic group relapsed, andone case of complication occurred. Conclusion Compared to two-port laparoscopic repair, single- port laparoscopie treatment for indirect inguinal hernia in children have the advantages of saving time, less trauma, quicker recovery, reducing scars, low recurrence rate, and it is worth of further promotion.

关 键 词：疝 腹股沟 腹腔镜 儿童 

分 类 号：R726.5[医药卫生—儿科]