比较单孔腹腔镜与传统开放手术治疗儿童腹股沟斜疝疗效  

Comparing the Effect Between Single-Port Laparoscopic and Traditional Open Surgery in Treatment of Inguinal Hernia in Children

作　　者：高军平[1] 梁万强[1] 潘芳妹 董保国[1] 陈宇[1] GAO Junping;LIANG Wanqiang;PAN Fangmei;DONG Baoguo;CHEN Yu(Department of General Surgery,Wuxiang Hospital of the Second Nanning People's Hospital,Nanning Guangxi 530219,China;Department of Obstetrics,Wuxiang Hospital of the Second Nanning People's Hospital,Nanning Guangxi 530219,China)

机构地区：[1]南宁市第二人民医院五象医院普外科,广西南宁530219 [2]南宁市第二人民医院五象医院产科,广西南宁530219

出　　处：《中国卫生标准管理》2023年第2期88-91,共4页China Health Standard Management

基　　金：南宁市科学研究与技术开发计划项目(zc20203006)。

摘　　要：目的比较单孔腹腔镜与传统开放手术治疗儿童腹股沟斜疝疗效差异。方法回顾性选取2019年6月—2021年6月南宁市第二人民医院五象医院普外科收治的接受单孔腹腔镜疝修补术治疗的79例儿童腹股沟斜疝患儿作为腔镜组,同期采用传统开放手术治疗的53例儿童腹股沟斜疝患儿作为传统组。比较两组手术时间、手术出血量,术后住院时间、阴囊肿胀、切口瘢痕、复发率及满意率。结果腔镜组的手术时间、手术出血量、术后住院时间分别为(33.30±6.00)min、(2.05±0.28)mL、(2.58±0.98)d,均少于传统组的(60.26±11.81)min、(3.62±0.60)mL、(3.22±1.20)d,差异均有统计学意义(P<0.05)。腔镜组术后阴囊肿胀、术后瘢痕发生率分别为2.5%、1.3%,均低于传统组的11.3%、11.3%,差异均有统计学意义(P<0.05)。腔镜组与传统组术后复发率分别为1.3%、1.9%,满意率分别为98.7%、92.5%,两组比较差异无统计学意义(P>0.05)。结论与传统开放手术相比,单孔腹腔镜疝修补术治疗儿童腹股沟斜疝具有安全可靠、创伤小、恢复快、并发症少的优势,具有明显临床应有价值。Objective To explore the difference between singleport laparoscopic and traditional open surgery in the treatment of inguinal hernia in children.Methods Using retrospective research methods,a total of 79 children with inguinal hernia who underwent single-port laparoscopic hernia repair in Department of General Surgery of Wuxiang Hospital of the Second Nanning People’s Hospital from June 2019 to June 2021 were selected as the laparoscopic group,and 53 children with inguinal hernia who underwent traditional open surgery during the same period were selected as the traditional group.Operative time,surgical blood loss,postoperative hospitalization time,postoperative scrotal swelling,postoperative recurrence,postoperative surgical scar and satisfaction of patients were compared between the two groups.Results The operative time,surgical blood loss,and operative hospital stay of the children in the laparoscopic group were(33.30±6.00)min,(2.05±0.28)mL,(2.58±0.98)d,which were significantly less than(60.26±11.81)min,(3.62±0.60)mL,(3.22±1.20)d in the traditional group,the differences were statistically significant(P<0.05).The incidences of postoperative scrotal swelling and postoperative scar in laparoscopic group were 2.5%and 1.3%,respectively,which were significantly lower than 11.3%and 11.3%in traditional group at the same time point,the differences were statistically significant(P<0.05).The recurrence rates in the laparoscopic group and traditional group were 1.3%and 1.9%,respectively,with no statistical significant differences between the two groups(P>0.05).The satisfaction rates in the laparoscopic group and traditional group were 98.7%and 92.5%,respectively,with no statistical significant differences between the two groups(P>0.05).Conclusion Compared with traditional open surgery,single-port laparoscopic hernia repair in the treatment of pediatric inguinal hernia has the advantages of reliable surgical effect,small surgical trauma,quick postoperative recovery,and fewer complications,which has obvious clinical

关 键 词：腹股沟 斜疝 腹腔镜 传统开放手术 儿童 疝修补术 

分 类 号：R726[医药卫生—儿科]