疝气钩针协助下腹腔镜经脐单部位治疗腹股沟嵌顿性斜疝患儿的临床疗效  

Clinical Efficacy of Hernia Crochet Assisted Laparoscopic Single Site Transumbilical Treatment for Children with Inguinal Incarcerated Oblique Hernia

作　　者：朴倩 孙诗琦 PIAO Qian;SUN Shiqi(The First Affiliated Hospital of China Medical University,Liaoning Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院胃肠疝外科,辽宁沈阳110001

出　　处：《河北医学》2023年第10期1640-1644,共5页Hebei Medicine

基　　金：辽宁省自然科学基金项目,(编号:2021HZ37-28)。

摘　　要：目的:研究疝气钩针协助下腹腔镜经脐单部位治疗腹股沟嵌顿性斜疝患儿的临床疗效。方法:以回顾性分析为法,观察对象为2021年1月至2023年1月入院的100例腹股沟嵌顿性斜疝患儿,参考手术方式分为研究组(50例)与对照组(50例),研究组行疝气钩针协助下腹腔镜经脐单部位治疗,对照组行开放手术治疗;比较两组手术前后炎性因子[白介素-6(IL-6)、C-反应蛋白(CRP)]水平与术中指标、术后指标及并发症发生率。结果:两组术前IL-6、CRP水平差异无统计学意义(P>0.05);研究组术后IL-6(32.91±6.06)mg/L、CRP(14.53±2.91)ng/L明显低于对照组IL-6(42.58±7.84)mg/L、CRP(18.14±3.08)ng/L,差异有统计学意义(P<0.05)。研究组切口长度(0.39±0.14)cm、术中出血量(3.41±0.78)mL明显低于对照组切口长度(3.37±1.13)cm、术中出血量(19.42±3.96)mL,手术时间(32.41±6.73)min、初次通气时间(8.87±1.77)h、初次下床活动时间(13.58±2.93)h、住院时间(2.81±0.69)d明显短于对照组手术时间(56.66±10.14)min、初次通气时间(17.18±3.56)h、初次下床活动时间(22.53±3.15)h、住院时间(4.97±1.85)d,差异有统计学意义(P<0.05)。研究组阴囊红肿、慢性疼痛、切口感染发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:疝气钩针协助下腹腔镜经脐单部位治疗腹股沟嵌顿性斜疝患儿的临床疗效显著,可减轻患儿炎性反应,还可缩短患儿切口长度与手术、初次通气、初次下床活动及住院时间,减少术中出血量及并发症。Objective:To study the clinical effect of hernia crochet assisted laparoscopic single site transumbilical treatment of inguinal incarcerated oblique hernia in children.Methods:A retrospective analysis was performed on 100 children with inguinal incarcerated oblique hernia admitted from January 2021 to January 2023.The subjects were divided into study group(50 cases)and control group(50 cases)according to the surgical methods.The study group received hernia crocheted assisted laparoscopic single site transumbilical treatment,while the control group received open surgery.The levels of inflammatory factors[interleukin-6(IL-6),C-reactive protein(CRP)]before and after surgery were compared with intraoperative indicators(incision length,intraoperative blood loss,and operation time),postoperative indicators(first ventilation time,first time of getting out of bed,and length of hospital stay)and the incidence of complications(scrotal redness,chronic pain,and incision infection)between the two groups.Results:There were no significant differences in IL-6 and CRP levels between the two groups before surgery(P>0.05).Postoperative IL-6(32.91±6.06)mg/L and CRP(14.53±2.91)ng/L in the study group were significantly lower than those in the control group(42.58±7.84)mg/L and 18.14±3.08 ng/L,and the difference was statistically significant(P<0.05).Incision length(0.39±0.14)cm and intraoperative blood loss(3.41±0.78)ml in the study group were significantly lower than those in the control group(3.37±1.13)cm and(19.42±3.96)ml.The time of operation(32.41±6.73)min,the time of primary ventilation(8.87±1.77)h,the time of first get-ting out of bed(13.58±2.93)h and the time of hospitalization(2.81±0.69)d were significantly shorter than those of the control group(56.66±10.14)min and the time of primary ventilation(17.18±3.56)h,the first time out of bed(22.53±3.15)h,the length of hospital stay(4.97±1.85)d,the difference was sta-tistically significant(P<0.05).The incidence of scrotal swelling,chronic pain and incision infection i

关 键 词：疝气钩针 腹腔镜 脐单部位 腹股沟嵌顿性斜疝 炎性因子 

分 类 号：R726.5[医药卫生—儿科]