疝气钩针协助单孔腹腔镜手术治疗腹股沟嵌顿性斜疝患儿效果  

Effect of Hernia Crochet Assisted Single-hole Laparoscopic Surgery in the Treatment of Children with Inguinal Incarcerated Oblique Hernia

作　　者：张鹏 舒芳 肖赟 钟斌 吴书清 ZHANG Peng;SHU Fang;XIAO Yun;ZHONG Bin;WU Shuqing(Department of Pediatric Surgery,Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市妇幼保健院儿外科,江西赣州341000

出　　处：《中国医学创新》2025年第10期71-74,共4页Medical Innovation of China

摘　　要：目的:探讨疝气钩针协助单孔腹腔镜手术治疗腹股沟嵌顿性斜疝患儿的效果。方法:选取2022年1月—2023年12月赣州市妇幼保健院收治的腹股沟嵌顿性斜疝患儿113例,按照手术方式不同分为两组,即对照组(n=56,传统开腹手术治疗)与腹腔镜组(n=57,疝气钩针协助单孔腹腔镜手术治疗),比较两组手术相关指标,血清炎症因子及并发症发生率,并连续随访6个月,记录两组斜疝复发率。结果:腹腔镜组手术时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。术后3 d,腹腔镜组血清C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均低于对照组(P<0.05)。腹腔镜组并发症发生率、复发率分别为7.02%、0,均低于对照组的19.64%、10.71%(P<0.05)。结论:疝气钩针协助单孔腹腔镜手术治疗腹股沟嵌顿性斜疝创伤小、术后恢复快,能有效抑制机体炎症反应,降低患儿并发症及斜疝复发率。Objective:To investigate the effect of hernia crochet assisted single-hole laparoscopic surgery in the treatment of children with inguinal incarcerated oblique hernia.Method:A total of 113 children with inguinal incarcerated oblique hernia treated in Ganzhou Maternal and Child Health Hospital from January 2022 to December 2023 were selected and divided into two groups according to different surgical methods,including control group(n=56,traditional open surgery)and laparoscopic group(n=57,hernia crochet assisted single-hole laparoscopic surgery),and the relevant surgical indicators,serum inflammatory factors and the incidence of complications of the two groups were compared.Follow up for 6 months,the recurrence rate of oblique hernia was recorded in both groups.Result:The operation time and hospital stay in laparoscopic group were shorter than those in control group,intraoperative blood loss in laparoscopic group was less than that in control group(P<0.05).Three days after surgery,the serum levels of CRP,IL-6 and TNF-α in laparoscopic group were lower than those in control group(P<0.05).The complication rate and recurrence rate in laparoscopic group were 7.02%and 0,respectively,which were lower than 19.64%and 10.71%in control group(P<0.05).Conclusion:Hernia crochet assisted single-hole laparoscopic surgery in the treatment of inguinal incarcerated oblique hernia has less trauma,faster postoperative recovery,and can effectively inhibit the inflammatory response of the body,reduce complications and the recurrence rate of oblique hernia in children.

关 键 词：腹股沟嵌顿性斜疝 疝气钩针 单孔腹腔镜手术 

分 类 号：R726.5[医药卫生—儿科]