改良小儿腹腔镜下腹股沟疝疝囊高位结扎术的临床应用
Application of Improved Micro-laparoscopic High Ligation in Pediatric Inguinal Hernia
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摘要: 目的 对比改良小儿腹腔镜疝囊高位结扎术与传统疝囊高位结扎术对小儿疝的治疗效果.方法 回顾性分析文山州医院2013年1月至2014年12月诊断为腹股沟疝的儿童(年龄8个月~14岁)200例,随机分成观察组和对照组各100例,分别实施改良小儿腹腔镜疝囊高位结扎术和传统术式.手术时记录2组术中失血量、术口长度、手术时间.术后记录住院时间、疼痛时间、总费用.随访6个月观察复发率、并发症.对2组治疗效果进行综合分析比较.结果 观察组较对照组手术切口小,失血少,术后疼痛轻,手术时间短,住院时间短,复发率低,2组比较差异均有统计学意义(P<0.05).结论 小儿腹股沟疝,改良小儿腹腔镜腹股沟疝囊高位结扎术较传统术式疗效好,并发症低,预后好,是比较理想的术式.Abstract: Objective To compare the treatment effects between improved micro-laparoscopic hernia sac high ligation and traditional hernia sac high ligation. Methods Retrospective analysis was conducted. A total of 200 pediatric patients diagnosed with inguinal hernia in our hospital from 2013 to 2014,ranging in age from 8 months to14 years, were enrolled and divided into observational group and control group(n=100) The two groups received improved-micro-laparoscopic hernia sac high ligation and traditional hernia sac high ligation respectively. We recorded intraoperative blood loss, operative incision length and operation time during the operation, and hospitalization time,pain time and total cost after the operation. Recurrence rate and complication were followed up for 6 months. Treatment effects were compared between these two groups. Results Smaller incision length, less blood loss and postoperative pain, shorter operative time and hospitalization time and lower recurrence rate were found in observational group and they were of statistical significance(P<0.05). Conclusion Improved-microlaparoscopic hernia sac high ligation for pediatric inguinal hernia shows better treatment effect, lower recurrence rate and better prognosis and it is an ideal approach.
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