常规法与经脐入路腹膜外腹腔镜手术治疗小儿腹股沟疝的效果比较  

Comparison on the Effects of Conventional Method and Transumbilical Approach for Extraperitoneal Laparoscopic Surgery in the Treatment of Children with Inguinal Hernia

作　　者：夏根玉[1] 石长勇 李琦 XIA Genyu;SHI Changyong;LI Qi(Shenzhen Longgang District Maternal and Child Health Hospital,Shenzhen 518100,China)

机构地区：[1]深圳市龙岗区妇幼保健院,广东深圳518100

出　　处：《临床医学工程》2022年第10期1343-1344,共2页Clinical Medicine & Engineering

摘　　要：目的比较常规法与经脐入路腹膜外腹腔镜手术治疗小儿腹股沟疝的临床效果。方法选取我院2018年6月至2019年12月收治的小儿腹股沟疝120例,根据手术方法的不同分成两组。对照组给予常规小儿腹股沟斜疝手术,观察组给予经脐入路腹膜外腹腔镜小儿腹股沟斜疝手术。比较两组的手术时间、术中出血量、住院天数、并发症发生率、复发率。结果观察组的手术时间显著长于对照组,并发症发生率显著低于对照组(P<0.05);两组的术中出血量、住院天数、复发率比较,差异无统计学意义(P>0.05)。结论经脐入路腹膜外腹腔镜手术治疗小儿腹股沟疝具有并发症发生率低的优势。Objective To compare the effects of conventional method and transumbilical approach for extraperitoneal laparoscopic surgery in the treatment of children with inguinal hernia.Methods 120 children with inguinal hernia admitted to our hospital from June2018 to December 2019 were selected and divided into two groups according to different surgical methods.The control group was given routine pediatric indirect inguinal hernia surgery,and the observation group was given extraperitoneal laparoscopic pediatric indirect inguinal hernia surgery through umbilical approach.The operation time,intraoperative blood loss amount,length of hospital stay,incidence of complications and recurrence rate were compared between the two groups.Results The operation time of the observation group was significantly longer than that of the control group,and the incidence of complications was significantly lower than that of the control group(P<0.05);No significant difference was found in the intraoperative blood loss amount,length of hospital stay and recurrence rate between the two groups(P>0.05).Conclusions Transumbilical approach for extraperitoneal laparoscopic surgery in the treatment of children with inguinal hernia has the advantage of low incidence of complications.

关 键 词：小儿 腹股沟疝 经脐入路腹膜外腹腔镜手术 

分 类 号：R656.21[医药卫生—外科学]