SPLPEC与传统开放手术治疗儿童腹股沟斜疝的效果对比研究  

Efficacy comparison of SPLPEC and traditional open surgery in treating pediatric inguinal hernia

作　　者：路腾飞 王乐 李博健 沈丽萍[1] 刘德鸿[1] Lu Tengfei;Wang Le;Li Bojian;Shen Liping;Liu Dehong(Department of Pediatric Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院儿外科,上海200025

出　　处：《保健医学研究与实践》2024年第4期55-60,共6页Health Medicine Research and Practice

基　　金：上海市级医院促进临床专科能力提升项目(SHDC22022306)。

摘　　要：目的比较分析经脐单孔腹腔镜下腹膜外疝囊高位结扎术(SPLPEC)与传统开放手术治疗儿童腹股沟斜疝的疗效,以期为临床治疗提供参考。方法本研究回顾性分析上海交通大学医学院附属瑞金医院北部院区小儿外科在2021年1月-2022年12月收治的127例腹股沟斜疝患儿资料。根据患儿手术方式分为2组,开放组(n=38)与腔镜组(n=89)。腔镜组患儿采用SPLPEC治疗,开放组患儿采用传统开放手术治疗。比较腔镜组及开放组患儿手术时间、住院时间、术中出血量、伤口长度及住院期间并发症发生情况。结果腔镜组患儿手术时间、住院时间均短于开放组,差异均有统计学意义(P<0.05)。腔镜组患儿术中出血量少于开放组,切口长度短于开放组,差异均有统计学意义(P<0.05)。腔镜组患儿并发症发生率低于开放组,差异有统计学意义(P<0.05)。结论相较于传统开放手术,SPLPEC治疗小儿腹股沟斜疝,具有手术时间短、恢复快、并发症少、术中出血量少等优点,是一种安全、有效的手术方法,值得临床推广应用。Objective To compare the efficacy of single-port laparoscopic percutaneous extraperitoneal closure(SPLPEC)with traditional open surgery in treating pediatric inguinal hernia,providing clinical references.Methods A retrospective analysis was conducted on 127 pediatric patients with inguinal hernia treated at the Department of Pediatric Surgery of our hospital from January 2021 to December 2022.Patients were assigned to two groups based on the surgical method:open group(n=38)and laparoscopic group(n=89).The laparoscopic group underwent SPLPEC,while the open group received traditional open surgery.The groups were compared based on the time of operation,length of hospital stay,intraoperative blood loss,wound length,and postoperative complications.Results The laparoscopic group had significantly shorter time of operation and length of hospital stay,less intraoperative blood loss,and shorter wound length compared to the open group(P<0.05).The complication rate in the laparoscopic group was also significantly lower than in the open group(P<0.05).ConclusionSPLPEC is a safe and effective surgical method for treating pediatric inguinal hernia,with advantages inclucling shorter time of operation,faster recovery,fewer complications,and less intraoperative blood loss compared to traditional open surgery,justifying a wider clinical application.

关 键 词：腹股沟斜疝 腹腔镜 腹膜外结扎 患儿 

分 类 号：R72[医药卫生—儿科]