腹横纹切口疝囊高位结扎术治疗小儿腹股沟斜疝的效果研究  

Effect of Abdominal Transverse Incision Hernia Sac High Ligation in the Treatment of Oblique Inguinal Hernia in Children

作　　者：黄赟 陆平玉 Huang Yun;Lu Ping-yu(Anlong County People's Hospital,Qianxinan Buyi and Miao Autonomous Prefecture.552400,Guizhou Province,China)

机构地区：[1]安龙县人民医院,贵州黔西南布依族苗旋自治州552400

出　　处：《中外医药研究》2023年第6期40-42,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究腹横纹切口疝囊高位结扎术治疗小儿腹股沟斜疝的效果。方法:选取2018年1月—2021年1月安龙县人民医院收治的腹股沟斜疝患儿104例为研究对象,依据随机数字表法分为对照组与试验组,各52例。对照组实施传统斜切口疝囊高位结扎术治疗,试验组实施腹横纹切口疝囊高位结扎术治疗。比较两组患儿手术指标、术后恢复指标、微环境指标、疼痛程度、并发症发生率。结果:试验组术中出血量少于对照组,手术切口长度、手术时间短于对照组,差异有统计学意义(P<0.0001);试验组术后进食时间、自主活动恢复时间与住院时间短于对照组,差异有统计学意义(P<0.0001);术后24、36 h,试验组丙二醇、血清前列腺素E2水平均低于对照组,差异有统计学意义(P<0.0001);术后1、3 d,试验组视觉模拟评分低于对照组,差异有统计学意义(P<0.0001);试验组并发症发生率低于对照组,差异有统计学意义(P=0.0234)。结论:腹横纹切口疝囊高位结扎术治疗小儿腹股沟斜疝的效果显著,可有效预防术后应激状态,减少术中出血量,减轻疼痛程度,缩短术后恢复时间,且并发症少,安全性较高。Objective:To explore the effect of high ligation of abdominal transverse incision hernia sac in the treatment of oblique inguinal hernia in children.Methods:A total of one hundred and four children with oblique inguinal hernia treated in Anlong County People's Hospital from January 2018 to January 2021 were selected as the study objects,and were divided into control group and experimental group according to random number table method,with fifty-two cases in each group.The control group was treated with traditional oblique incision high ligation of hernia sac,and the experimental group was treated with abdominal transverse incision high ligation of hernia sac.The surgical index,postoperative recovery index,microenvironment index,pain degree and complication rate were compared between the two groups.Results:The amount of blood loss in the experimental group was less than that in the control group,and the length of surgical incision and operation time were shorter than that in the control group,the difference was statistically significant(P<0.0001).The feeding time,recovery time of autonomous activity and hospitalization time of experimental group were shorter than those of control group,and the differences were statistically significant(P<0.0001).At 24 and 36 h after operation,the levels of propylene glycol and serum prostaglandin E2 in experimental groups were lower than those in control group,with statistical significance(P<0.0001).On the 1st and 3rd day after operation,the visual analog score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.0001).The complication rate of experimental group was lower than that of control group,and the difference was statistically significant(P=0.0234).Conclusion:The high ligation of transverse abdominal incision hernia sac in the treatment of oblique inguinal hernia in children has significant effects,which can effectively prevent postoperative stress,reduce intraoperative blood loss,relieve pain,shorten posto

关 键 词：腹股沟斜疝 小儿 腹横纹切口疝囊高位结扎术 传统斜切口疝囊高位结扎术 

分 类 号：R47[医药卫生—护理学]