经脐两孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果  

Clinical effect of laparoscopic high ligation of sacral sac in the treatment of pediatric inguinal hernia

作　　者：邓富强[1] 杨海[1] 李艺域 DENG Fu-qiang;YANG Hai;LI Yi-yu(Department of Pediatric Surgery,Meizhou People′s Hospital,Guangdong Province,Meizhou514031,China)

机构地区：[1]广东省梅州市人民医院小儿外科,广东梅州514031

出　　处：《中国当代医药》2020年第8期109-112,共4页China Modern Medicine

摘　　要：目的 探讨经脐两孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果.方法 选取2018年6月~2019年6月我院收治的100例腹股沟斜疝患儿,按随机数字表法分为对照组和观察组,每组各50例.观察组采取经脐单部位腹腔镜疝囊高位结扎术,对照组采取经典经脐腹腔镜疝囊高位结扎术.比较两组术中出血量、手术时间、住院时间、术后并发症发生率与复发率.结果 两组术中出血量、手术时间,差异无统计学意义(P>0.05).观察组住院时间和切口疼痛持续时间短于对照组,差异有统计学意义(P<0.05);观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05);两组术后30 d的复发率比较,差异无统计学意义(P>0.05).结论 经脐单部位腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝不会破坏脐环,恢复快,术后并发症少,且切口相对美观,易被接受,值得临床推广,但手术难度相对较大,对手术医师的技术要求高.Objective To investigate the effectiveness of laparoscopic high ligation of sacral sac in the treatment of pediatric inguinal hernia and its effect on complications.Methods A total of 100 children with inguinal hernia who were admitted to our hospital from June 2018 to June 2019 were selected and divided into control group and observation group according to random number table method,50 cases in each group.The observation group was treated with laparoscopic high-level ligation of the umbilical sac,and the control group underwent classic transumbilical laparoscopic high ligation of the hernia sac.The intraoperative blood loss,operation time,hospital stay,postoperative complication rate,incision scar(scarring rate)and recurrence rate were compared between the two groups.Results There was no significant difference in intraoperative blood loss and operation time between the two groups(P>0.05).The hospitalization time and incision pain duration in the observation group were shorter than those in the control group(P<0.05),and the total incidence of postoperative complications in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in recurrence rate between the two groups at 30 days after operation(P>0.05).Conclusions Umbilical single-site laparoscopic high ligation of the hernia sac in the treatment of indirect inguinal hernia does not destroy the umbilical ring.The postoperative complications are reduced,and the incision is relatively beautiful and easy to be accepted by patients.It is worthy of promotion,but the operation is relatively more difficult.The surgeon has high technical requirements.

关 键 词：腹股沟斜疝 腹腔镜疝囊高位结扎术 瘢痕 并发症 脐环 复发 

分 类 号：R726.5[医药卫生—儿科]