单孔腹腔镜鞘状突高位结扎术治疗小儿鞘膜积液的临床效果  

Clinical effect of single hole laparoscopic high ligature of sheath process in the treatment of hydrocele in children

作　　者：张家德 胡小华 钟陈 张平锋 ZHANG Jia-de;HU Xiao-hua;ZHONG Chen;ZHANG Ping-feng(Department of Pediatric Surgery,Boai Hospital of Zhongshan Affiliated to Southern Medical University,Guangdong Province,Zhongshan528400,China)

机构地区：[1]南方医科大学附属中山博爱医院小儿外科,广东中山528400

出　　处：《中国当代医药》2020年第10期127-129,共3页China Modern Medicine

摘　　要：目的探讨单孔腹腔镜鞘状突高位结扎术治疗小儿鞘膜积液的临床效果。方法选取2015年4月~2018年4月在我院治疗的900例小儿鞘膜积液患儿,按随机数字表法分为对照组和观察组,每组各450例。对照组采用传统鞘状突高位结扎术,观察组采用单孔腹腔镜鞘状突高位结扎术,比较两组的各项手术指标、并发症发生情况。结果两组手术均顺利完成,手术成功率为100%,差异无统计学意义(P>0.05);两组手术时间、术中出血量比较,差异无统计学意义(P>0.05),观察组胃肠功能恢复时间、住院时间短于对照组,术后视觉模拟量表(VAS)评分低于对照组,差异均有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论单孔腹腔镜治疗小儿鞘膜积液的效果确切,创伤小,术后恢复快,并发症发生率低,具有较高的有效性及安全性。Objective To investigate the clinical effect of single hole laparoscopic high ligature of sheath process in the treatment of hydrocele in children. Methods A total of 900 children with hydrocele treated in our hospital from April 2015 to April 2018 were selected and divided into control group and observation group according to random digital table method, 450 cases in each group. The control group was treated with traditional high ligature of sheath process.The observation group was treated with single hole laparoscopic high ligature of sheath process. The surgical indexes and complications were compared between two groups. Results The operation was smooth in both groups, and the success rate was 100%, the difference had no statistical significance(P>0.05). There were no significant differences in operation time and intraoperative blood loss between the two groups(P>0.05). The recovery time of gastrointestinal function and hospitalization time in the observation group were shorter than those in the control group, and the postoperative visual analogue scale(VAS) was lower than that in the control group, the differences were statistically significant(P<0.05). The total 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 effect of single-hole laparoscopy in the treatment of children′s sheath effusion is accurate, the trauma is small, the postoperative recovery is rapid, the complication rate is low, and it has high effectiveness and safety.

关 键 词：小儿鞘膜积液 单孔腹腔镜 鞘状突高位结扎术 有效性 安全性 

分 类 号：R726.9[医药卫生—儿科]