单孔腹腔镜疝气针与常规两孔法治疗儿童腹股沟斜疝的临床效果比较  

Comparison of the therapeutic effects of single-port and two-port laparoscope for inguinal hernia in children

作　　者：吕其刚[1] 孙小刚[1] 李金良[1] 徐加龙[1] 王军锋[1] 李殿国[1] 

机构地区：[1]山东大学第二医院小儿外科,山东济南250033

出　　处：《山东大学学报（医学版）》2018年第2期51-55,共5页Journal of Shandong University:Health Sciences

摘　　要：目的比较并探讨单孔腹腔镜疝气针与常规两孔法腹腔镜治疗儿童腹股沟斜疝的临床效果。方法回顾性分析2010年6月~2016年6月收治的525例儿童腹股沟斜疝,分为单孔组(250例)和两孔组(275例);其中,单孔组采用单孔腹腔镜疝气针治疗,两孔组采用常规两孔法腹腔镜治疗。比较两组手术方法的平均手术时间、术中并发症、术中出血量、平均住院天数、术后并发症和平均住院费用。结果两组患者的平均手术时间、术中并发症、术中出血量、平均住院日、术后并发症和平均住院费用等各项指标差异均无统计学意义;对于腹股沟斜疝的单侧和双侧患者分别比较后发现,两种手术方式的临床疗效差异也无统计学意义。结论与常规两孔法相比,单孔腹腔镜疝气针治疗儿童腹股沟斜疝不仅安全、有效,而且具有切口隐蔽、更为美观的优点。Objective To compare the outcomes of single-port laparoscope（ SPL） and traditional two-port laparoscope（ TPL） in the treatment of inguinal hernia in children. Methods A total of 525 children with inguinal hernia during June 2010 and June 2016 were divided into single-port group（ n = 250） and two-port group（ n = 275）. The average operation time,intraoperative blood loss,hospital stay,complications and hospitalization costs of the two groups were compared. Results No significant difference was observed between the two groups in average operation time,complications,blood loss,hospital stay and hospitalization costs. In terms of unilateral and bilateral inguinal hernia,there was no significant difference between two groups either. Conclusion Compared with traditional two-port laparoscope,single-port laparoscope is equally safe and effective in the treatment of inguinal hernia in children.

关 键 词：腹腔镜 单孔法 两孔法 儿童 腹股沟斜疝 疗效 

分 类 号：R726.1[医药卫生—儿科]