单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟疝的效果分析  

Analysis of the Effect of Single Hole Laparoscopic High Ligation of Hernia Sac in the Treatment of Pediatric Inguinal Hernia

作　　者：陈培君 吴长鑫 杨甲辰 CHEN Peijun;WU Changxin;YANG Jiachen(Department of Pediatric Surgery,Jinjiang Municipal Hospital,Jinjiang Fujian 362200,China)

机构地区：[1]晋江市医院小儿外科,福建晋江362200

出　　处：《中国卫生标准管理》2024年第15期23-26,共4页China Health Standard Management

摘　　要：目的探讨单孔腹腔镜疝囊高位结扎术用于小儿腹股沟疝治疗中的效果及对切口美观度的影响。方法选取2020年9月—2023年7月晋江市医院小儿外科收治的109例小儿腹股沟疝患儿,对其资料行回顾性分析,按照手术方法差异分组,对照组52例采取传统小切口疝囊高位结扎术,观察组57例采取单孔腹腔镜疝囊高位结扎术。比较2组手术效果、切口美观满意度及并发症发生率。结果观察组手术时间、术后肛门排气时间、下床活动时间、住院时间及切口长度短于对照组,观察组术中出血量少于对照组(P<0.05)。观察组术后切口美观满意度为96.49%,明显高于对照组的86.42%(P<0.05)。观察组术后并发症发生率为1.75%,低于对照组的17.31%(P<0.05)。结论单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟疝效果满意,且创伤更小、术后疼痛更轻,术后恢复快,可减轻氧化应激反应及炎症反应,能提高切口美观满意度,也可减少术后并发症发生。Objective To explore the effect of single port laparoscopic high ligation of hernia sac in the treatment of pediatric inguinal hernia and its impact on incision aesthetics.Methods A retrospective analysis was conducted on the data of 109 pediatric patients with inguinal hernia admitted to department of pediatric surgery,Jinjiang Municipal Hospital from September 2020 to July 2023.The patients were grouped according to differences in surgical methods.The control group(52 cases)underwent traditional small incision hernia sac high ligation surgery,while the observation group(57 cases)underwent single hole laparoscopic hernia sac high ligation surgery.The surgical effects,satisfaction with incision aesthetics,and incidence of complications were compared between the two groups.Results The observation group had shorter surgical time,postoperative anal exhaust time,mobilization time,hospitalization time,and incision length than the control group,the observation group had less intraoperative bleeding than the control group(P<0.05).The satisfaction rate of postoperative incision aesthetics in the observation group was 96.49%,significantly higher than 86.42%of the control group(P<0.05).The incidence of postoperative complications in the observation group was 1.75%,lower than 17.31%of the control group(P<0.05).Conclusion Single port laparoscopic high ligation of inguinal hernia sac is effective in treating pediatric inguinal hernia,with less trauma,less postoperative pain,faster postoperative recovery,reduced oxidative stress and inflammatory reactions,improved incision satisfaction,and reduced postoperative complications.

关 键 词：单孔 腹腔镜疝囊高位结扎术 小儿 腹股沟疝 切口美观度 并发症 

分 类 号：R726[医药卫生—儿科]