腹腔镜下负压吸线法与疝气针对小儿腹股沟疝患者机体创伤的比较  

Comparisons of injuries between negative pressure suction under laparoscopy and hernia needle in the treatment of inguinal hernia in children

作　　者：朱刘红 史发兰 周细华 陈海燕[1] Zhu Liuhong;Shi Falan;Zhou Xihua;Chen Haiyan(Department of General Surgery,Rugao People's Hospital of Jiangsu Province,Rugao 226500,Jiangsu,China)

机构地区：[1]南通大学附属如皋医院江苏省如皋市人民医院普外科,江苏226500

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第6期579-582,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的比较腹腔镜下负压吸线法与疝气针对小儿腹股沟疝患者机体创伤的影响。方法选取2016年10月至2018年2月于唐河县人民医院普通外科就诊的164例腹股沟疝患儿。根据手术方法的不同,分为负压吸线组及疝气针组,每组各82例。负压吸线组给予腹腔镜下负压吸线法经皮腹膜外结扎术进行治疗,疝气针组给予腹腔镜下双钩疝针经皮腹膜外结扎术进行治疗。观察并比较2组患者的手术临床指标、术后指标、并发症发生情况以及疝的复发率。结果负压吸线组的手术时间、术区针眼直径均显著低于疝气针组(P<0.05),2组的副损伤发生率差异无统计学意义(P>0.05)。术后负压吸线组患者的住院时间与疝气针组相当,差异无统计学意义(P>0.05),术后疼痛时间和住院费用均低于疝气针组(P<0.05),2组患者的阴囊水肿和切口感染发生率及复发率差异无统计学意义(P>0.05)。结论腹腔镜下负压吸线法经皮腹膜外结扎术与腹腔镜下疝气针经皮腹膜外结扎术相比,手术时间短,创伤更小,不增加并发症,在小儿腹股沟疝治疗中具有广泛的临床应用前景,值得在临床上进一步推广使用。Objective To investigate and compare the effects between negative pressure suction under laparoscopy and hernia needle on injuries in the treatment of inguinal hernia in children.Methods 164 children with inguinal hernia were selected from October 2016 to February 2018 in general surgery department of Tanghe County People's hospital.According to the different surgical methods,they were divided into the negative pressure suction group(82 cases)and the hernia needle group(82 cases).The negative pressure suction group was treated by laparoscopic negative pressure suction percutaneous extraperitoneal ligation method and the hernia needle group was treated with laparoscopic double hook hernia needle percutaneous extraperitoneal ligation.The clinical indicators,postoperative indicators,complications and recurrence rate of hernia of the two groups were observed and compared.Results The operation time and diameter of the needle in the negative pressure suction group were significantly lower than those in the hernia needle group(P<0.05),but there was no significant difference in the incidence of side effects between the two groups(P>0.05).There was no significant difference in hospitalization time between the two groups(P>0.05),but the postoperative pain duration and hospitalization cost were lower in the negative pressure suction group than those in the hernia needle group(P<0.05).There was no significant difference in the incidence of scrotal edema,incision infection,and hernia recurrence between the two groups(P>0.05).Conclusion Compared with percutaneous extraperitoneal ligation with percutaneous hernia needle under laparoscope,percutaneous extraperitoneal ligation with negative pressure suction under laparoscope has shorter operation time, less trauma and no increase in complications. It has a wide clinical application prospect in the treatment of inguinal hernia in children and is worthy of further application in clinical practice.

关 键 词：负压吸线法 疝气针 疝 腹股沟 小儿 腹腔镜 并发症 

分 类 号：R726.5[医药卫生—儿科]