摘要
目的:探讨小切口联合腹腔镜手术与开放手术治疗男性难复性嵌顿疝患儿的临床疗效及安全性。方法:回顾性纳入2018年1月—2023年10月本院收治的69例男性难复性嵌顿疝患儿,根据手术方式分为观察组(36例,小切口+腹腔镜手术)和对照组(33例,开放手术)。比较两组手术相关指标、炎性因子水平、微循环指标、并发症及患方满意率。结果:观察组手术切口长度、手术耗时、术后疼痛评分、肛门恢复排气时间、首次下床活动时间及住院时间均显著优于对照组(P<0.01)。术后48h,观察组C反应蛋白(CRP)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)水平显著低于对照组,白细胞介素-10(IL-10)水平显著高于对照组(P<0.05);观察组腹股沟管长度及水肿带厚度显著优于对照组(P<0.05或P<0.01)。观察组并发症总发生率(8.33%)显著低于对照组(33.33%),患方满意率(91.67%)显著高于对照组(66.67%)(P<0.01)。结论:小切口联合腹腔镜手术治疗男性患儿难复性嵌顿疝创伤小、恢复快、炎症反应轻且并发症少,是安全有效的术式。
Objective:To explore the clinical efficacy and safety of small incision combined with laparoscopic surgery versus open surgery in the treatment of refractory incarcerated hernia in male children.Method:A total of 69 male children with refractory incarcerated hernia from January 2018 to October 2023 were retrospectively included.They were divided into the observation group(36 cases,small incision+laparoscopic surgery)and the control group(33 cases,open surgery)according to the surgical method.Surgical related indicators,inflammatory factor levels,microcirculation indicators,complications and satisfaction rate of patients'families were compared between the two groups.Results:The incision length,operation time,postoperative pain score,anal exhaust time,first ambulation time and hospital stay in the observation group were significantly better than those in the control group(P<0.01).At 48 hours after operation,the levels of C-reactive protein(CRP),interleukin-6(IL-6)and interleukin-8(IL-8)in the observation group were significantly lower than those in the control group,while the level of interleukin-10(IL-10)was significantly higher(P<0.05).The length of inguinal canal and thickness of edema zone in the observation group were significantly better than those in the control group(P<0.05 or P<0.01).The total incidence of complications in the observation group(8.33%)was significantly lower than that in the control group(33.33%),and the satisfaction rate of patients'families(91.67%)was significantly higher than that in the control group(66.67%)(P<0.01).Conclusion:Small incision combined with laparoscopic surgery for refractory incarcerated hernia in male children has the advantages of less trauma,faster recovery,milder inflammatory response and fewer complications,which is a safe and effective surgical method.
作者
项汉生
倪松
涂林勇
倪吉元
李燕舞
XIANG Hansheng;NI Song;TU Linyong;NI Jiyuan;LI Yanwu(Departement of Pediatric Surgery,Huanggang Maternal and Child Health Hospital,Huanggang 438000,China;Ultrasound Imaging Center,Huanggang Maternal and Child Health Hospital,Huanggang 438000,China)
出处
《微循环学杂志》
2025年第3期56-60,共5页
Chinese Journal of Microcirculation
关键词
腹腔镜
难复性嵌顿疝
炎性指标
微循环
Laparoscopy
Irreducible incarcerated hernia
Inflammatory markers
Microcirculation
