摘要
目的分析研究腹腔镜治疗小儿腹股沟斜疝的临床效果。方法将44例腹股沟斜疝患儿随机分为治疗组和对照组各22例,治疗组给予腹腔镜手术治疗,对照组给予传统开放手术治疗。观察两组临床疗效及不良反应。结果治疗组术中出血量、术后恢复时间明显低于对照组,两组比较差异有统计学意义(P<0.05)。治疗组无阴囊水肿、切口下积血积液、感染等并发症,平均随访6月,早期1例复发,经腹腔镜手术修补成功,对照组平均随访6个月,4例复发,经再次开腹手术治愈。两组均无睾丸萎缩、医源性隐睾及肠粘连等远期并发症。结论经腹腔镜下手术治疗小儿腹股沟斜疝是一种安全有效的手术方式,具有手术时间短、创伤小、恢复快的优点,值得临床推广应用。
Objective To observe the clinical effects of laparoscopy in treating young child oblique inguinal hernia. Methods A total of 44 patients with oblique inguinal hernia were randomly divided into treatment group and control group, each group contained 22 cases. Patients in treatment group were treated with laparoscopy, and in control group were treated with traditional surgery.The curative effects were compared between the two groups after treatment. Results The duration of operation,the time of complete recovery and amount of blood loss were significantly shorter and less in treatment group than in control group（ P 0.05）. In treatment group, no edema of the scrotum, subcutaneous hydrops, or infection occurred. The patients were followed for 3～18 months （mean, 6months）. Short term recurrence was observed in 1 children, who required a reoperation of laparoscopic repair.In control group, follow up observations for 3～18 months （mean, 6 months） revealed recurrence in 4 children, who required a reoperation of open surgery. No testicular atrophy, iatrogenic retained testis, intestinal adhesion, or other long term complications happened. Conclusion The treatment of oblique inguinal hernia laparoscopic surgery is a safe and effective surgical method and worthy of clinical use.
出处
《中国现代药物应用》
2013年第16期16-17,共2页
Chinese Journal of Modern Drug Application
关键词
腹腔镜
小儿
腹股沟斜疝
Laparoscope
Young child
Oblique inguinal hernia
