两孔腹腔镜结合曲安奈德治疗小儿腹股沟疝合并鞘膜积液43例临床分析.docVIP

两孔腹腔镜结合曲安奈德治疗小儿腹股沟疝合并鞘膜积液43例临床分析 　　[摘要] 目的 探讨两孔微型腹腔镜结合穿刺注射曲安奈德治疗小儿腹股沟疝合并精索鞘膜积液手术方法及临床效果。方法 整群收集该院2011年5月―2015年5月诊治的43例小儿腹股沟疝合并鞘膜积液患儿资料进行分析，将其设置为腹腔镜组，选取同期治疗的40例患者作为传统开放组，传统开放组采用传统开放手术治疗，腹腔镜组采用两孔微型腹腔镜结合穿刺注射曲安奈德治疗，比较两组疗效。 结果 腹腔镜组手术时间为（22±2）min，术中出血量为（0±0）mL，住院时间为（3.5±1.9）d，进食及下床活动时间为（7±2）h，显著少于传统开放组手术时间为（52±4）min，术中出血量为（13±3）mL，住院时间为（5.1±2.4）d，进食及下床活动时间为（15±5）h（P中国论文网 /6/view-7216881.htm 　　[关键词] 微型腹腔镜；腹股沟疝；鞘膜积液；曲安奈德 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0092-03 　　Clinical Analysis of Two-trocar Laparoscope Combined with Triamcinolone Acetonide in Treatment of 43 Cases with Inguinal Hernia in Children with Hydrocele 　　WU Zhong-liang，MO Li-xian，ZHANG Wu-kun，WANG Min-kai，ZHANG Xing-fa，YANG Bo，YANG Feng 　　Department of general surgery， Third Affiliated Hospital of Guiyang Medical University，Duyun Province，558000 China 　　[Abstract] Objective To discuss the operation method and clinical effect of Two-trocar mini laparoscopy combined with puncture injection of triamcinolone acetonide in treatment of Inguinal hernia in children with funicular hydrocele. Methods The materials of 43 cases from May 2011 to May 2015 in our hospital with inguinal hernia in children with hydrocele were analyzed， and they were regarded as laparoscope group and were given two-trocar mini laparoscopy combined with puncture injection of triamcinolone acetonide treatment， 40 cases treated in the same period were regarded as the traditional open group and were given traditional open surgery， the curative effects of the two groups were compared. Results The operation time， intraoperative blood loss， length of stay and eating and getting out of bed activity time in the laparoscope group were obviously less than those in the traditional open group， （22±2）min， （0±0）mL， （3.5±1.9）d and （7±2）h vs （52±4）min， （13±3）mL， （5.1±2.4）d and （15±5）h （P 　　1 资料与方法 　　1.1 一般资料 　　整群收集2011年5月―2015年5月该院行两孔腹腔镜疝囊高位结扎联合曲安奈德鞘内注射治疗小儿腹股沟疝合并鞘膜积液43例，对比同期开放手术40例，小儿腹股沟疝及交通性鞘膜积液， 腹腔镜组43例，患儿中男30例，女13例，平均年龄（3.78±2.79）岁；传