摘要
目的:探讨小儿腹腔镜阑尾切除联合疝囊高位结扎术的可行性及安全性。方法:本研究采用回顾性对照研究,收集2018年1月至2021年12月在宁德市闽东医院诊治的急性阑尾炎合并腹股沟疝的患儿共48例,根据是否联合行疝囊高位结扎术分为对照组(22例)与观察组(26例)。对照组患儿单纯采用腹腔镜下阑尾炎切除术进行治疗,观察组患儿联合疝囊高位结扎进行治疗。比较两组手术时间、术后住院时间、炎症指标、术后并发症及术后腹股沟疝复发率。结果:观察组手术时间、住院时间与对照组比较,差异无统计学意义(P>0.05);两组术后1 d PCT、CRP水平高于术前1 d(P<0.05),组间比较,差异无统计学意义(P>0.05);两组患儿术后均未出现出血、肠梗阻、切口感染、腹腔脓肿等并发症,且术后随访1年未出现疝复发。结论:小儿腹腔镜阑尾切除术联合疝囊高位结扎术未明显增加手术难度,不会增加术后切口感染、术后肠梗阻、疝气复发等并发症,联合手术切实可行。
Objective: To investigate the feasibility and safety of laparoscopic appendectomy combined with high ligation of hernia sac in children. Methods: This study adopts a retrospective control study to collect 48 children with acute appendicitis combined with inguinal hernia diagnosed and treated in Mindong Hospital of Ningde City from January 2018 to December 2021.They are divided into the control group(22 cases) and the observation group(26 cases) according to whether high ligation of hernia sac is performed jointly.The control group was treated with laparoscopic appendicitis resection alone, and the observation group was treated with high ligation of hernia sac. The operation time, postoperative hospitalization time, inflammatory index, postoperative complications and postoperative inguinal hernia recurrence rate were compared between the two groups. Results: There was no significant difference in operation time and hospitalization time between the observation group and the control group(P>0.05). The levels of PCT and CRP at 1 d after operation were higher than those at 1 d before operation in the two groups(P<0.05), but there was no statistical significance between the two groups(P>0.05). There were no complications such as bleeding, intestinal obstruction, incision infection and abdominal abscess in the two groups, and there was no recurrence of hernia after 1 year follow-up. Conclusion: Pediatric laparoscopic appendectomy combined with high ligation of hernia sac did not significantly increase the difficulty of surgery, will not increase postoperative wound infection, postoperative intestinal obstruction, hernia recurrence and other complications, combined surgery is feasible.
作者
卓新杰
陈星宇
叶启文
胡景元
ZHUO Xinjie;CHEN Xingyu;YEQiwen;HU Jingyuan(The Third District of General Surgery of Mindong Hospital Affiliated to Fujian Medical University,Fu'an 355000,Fujian,China)
出处
《中国药物滥用防治杂志》
CAS
2022年第12期1776-1779,共4页
Chinese Journal of Drug Abuse Prevention and Treatment
关键词
急性阑尾炎
腹股沟疝
联合手术
Acute appendicitis
Inguinal hernia
Combined surgery
