传统手术和腹腔镜手术治疗小儿疝气的临床效果及安全性分析  

Study the clinical effect and safety of traditional surgery and iaparoscopic surgery in children with hernia

作　　者：郭健童[1] 梁健升[1] 吕少霞[1] 欧国昌 吴志强[1] 张庆峰[1] 

机构地区：[1]佛山市第一人民医院日间手术中心,广东佛山528000

出　　处：《中国伤残医学》2017年第22期8-10,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探究传统手术和腹腔镜手术治疗小儿疝气的临床效果及安全性.方法：从我院疝气患儿中选取84例作为研究对象,分为观察组和对照组,分别给予对照组传统手术治疗,观察组患儿行腹腔镜手术治疗,对2组患者的治疗效果和并发症情况进行观察.结果：观察组患儿的手术出血量为2.84±0.41ml,少于对照组的8.78±0.52ml,观察组的手术时间和住院时间短于对照组;观察组患儿的治疗有效率为95.24%,高于对照组的81.00%;观察组的并发症发生率为7.14%,对照组为26.19%,观察组患儿的并发症发生率低于对照组,比较差异具有统计学意义（P〈0.05）.结论：治疗小儿疝气应用腹腔镜手术,患儿的创伤较小,出血量少,身体恢复快,发生并发症少,其治疗效果优于传统的手术.Objective： To explore the clinical effect and safety of traditional surgery and laparoseopic surgery in the treatment of hernia in children. Methods： 84 cases of children with hernia were selected as the study subject. Then the patients were divided into observation group and control group. The control group was given traditional surgical treatment, while the children in observation group given laparoscopic surgery, and then observed the therapeutic effect and complications of two groups. Results： The operative blood loss in the observation group was （2.84 ± 0.41 ） ml which less than that in the control group （8.78 ± 0.52） ml. The operation time and hospitalization time of the observation group were shorter than the control group. The effective rate of treatment in the observation group was（95.24% ） which higher than that in the control group（81.00% ）. The incidence of complications in the observation group was 7.14%, the control group was 26.19% ,the incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion： The treatment of pediatric hernia with laparoscopic surgery, children with less trauma, less bleeding, faster body recovery, less complications, the treatment should be better than the traditional operation.

关 键 词：小儿疝气 传统手术 腹腔镜手术 安全性 

分 类 号：R656.2[医药卫生—外科学]