腹膜外水分离法经脐单孔腹腔镜腹股沟斜疝疝囊高位结扎术的疗效分析  

Efficacy Analysis of Transumbilical Single-port Laparoscopic High Ligation of Inguinal Hernia Sac by Extraperitoneal Water Separation Method

作　　者：曾仁仁 涂飞印 熊磊 胡煜 ZENG Renren;TU Feiyin;XIONG Lei;HU Yu(Department of General Surgery,Nanfeng County People's Hospital,Nanfeng 344500,Jiangxi,China)

机构地区：[1]南丰县人民医院普外科,江西南丰344500

出　　处：《医学信息》2024年第24期95-98,共4页Journal of Medical Information

基　　金：2022年度抚州市第二批指导性科技计划项目[编号:抚科社字〔2022﹞9号(序号106)]。

摘　　要：目的探讨腹膜外水分离法经脐单孔腹腔镜腹股沟斜疝疝囊高位结扎术的临床疗效。方法选择2023年1月-2024年1月南丰县人民医院收治的小儿腹股沟斜疝患者60例作为研究对象,通过随机数字表法将其分为对照组和腹腔镜组,各组30例。对照组应用经腹横纹小切口腹股沟斜疝疝囊高位结扎手术,腹腔镜组应用腹膜外水分离法经脐单孔腹腔镜腹股沟斜疝疝囊高位结扎手术。比较两组临床疗效、炎症因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)]、手术相关指标(手术切口大小、出血量、手术时间、住院时间、住院费用)、并发症发生率(睾丸上提、睾丸萎缩、阴囊肿胀、皮下血肿)及复发率。结果腹腔镜组治疗总有效率高于对照组(P<0.05)。两组治疗后炎症因子水平均高于治疗前,腹腔镜组炎症因子水平均低于对照组(P<0.05)。腹腔镜组手术切口大小、出血量、手术时间、住院时间均低于对照组,住院费用高于对照组(P<0.05)。腹腔镜组并发症发生率以及复发率均低于对照组(P<0.05)。结论腹膜外水分离法经脐单孔腹腔镜腹股沟斜疝疝囊高位结扎术在小儿腹股沟斜疝治疗中的应用效果确切,能够减轻患者炎症反应,手术切口小、出血量少、手术时间以及住院时间短,患者术后并发症发生率及复发率低,值得临床推广应用。Objective To investigate the clinical efficacy of transumbilical single-port laparoscopic high ligation of inguinal hernia sac by extraperitoneal water separation method.Methods A total of 60 children with indirect inguinal hernia admitted to Nanfeng County People's Hospital from January 2023 to January 2024 were selected as the research objects.They were divided into control group and laparoscopic group by random number table method,with 30 children in each group.The control group was treated with high ligation of inguinal hernia sac through small incision of abdominal transverse striation,and the laparoscopic group was treated with transumbilical single-port laparoscopic high ligation of inguinal hernia sac by extraperitoneal water separation.The clinical efficacy,inflammatory factors[C-reactive protein(CRP),interleukin-6(IL-6)],surgical related indicators(incision size,bleeding volume,operation time,hospitalization time,hospitalization expenses),complication rate(testicular uplift,testicular atrophy,scrotal swelling,subcutaneous hematoma)and recurrence rate were compared between the two groups.Results The total effective rate of the laparoscopic group was higher than that of the control group(P<0.05).The levels of inflammatory factors in the two groups after treatment were higher than those before treatment,and the levels of inflammatory factors in the laparoscopic group were lower than those in the control group(P<0.05).The incision size,bleeding volume,operation time and hospitalization time of the laparoscopic group were lower than those of the control group,and the hospitalization cost was higher than that of the control group(P<0.05).The incidence of complications and recurrence rate in the laparoscopic group were lower than those in the control group(P<0.05).Conclusion Transumbilical single-port laparoscopic high ligation of indirect inguinal hernia sac by extraperitoneal water separation method is effective in the treatment of indirect inguinal hernia in children,which can reduce the inflammatory respon

关 键 词：腹膜外水分离法 经脐单孔腹腔镜腹股沟斜疝疝囊高位结扎术 小儿腹股沟斜疝 

分 类 号：R656.21[医药卫生—外科学]