腹腔镜治疗腹得股沟疝分析.pdfVIP

58 46 【摘要】目的 比较腹腔镜疝囊高位结扎术与经腹股沟切口疝囊高位结扎术治疗小儿腹股沟疝的临床效果。方法 回顾 性分析我院收治的腹股沟疝患儿 104 例的临床资料，其中行腹腔镜疝囊高位结扎术患儿58 例作为腹腔镜组，行传统经 腹股沟切口疝囊高位结扎术患儿46 例作为对照组，比较两组平均手术时间、术后疼痛持续时间、住院时间及并发症发 生情况。结果 腹腔镜组平均手术时间、术后疼痛持续时间和住院时间分别为（19.2±2.2 ）min ，（22.6 ±4.5 ）h 和（3.0 ±0.6 ）d ；对照组分别为（42.5 ±4.2 ）min ，（56.2 ±6.0 ）h 和（5.8 ±1.1）d，两组比较差异均有统计学意义（P ＜0.05 ）。 腹腔镜组出现阴囊水肿2 例，无皮下血肿和鞘膜积液发生；对照组出现阴囊水肿5 例，皮下血肿3 例，继发鞘膜积液2 例，腹腔镜组并发症发生率低于对照组，差异有统计学意义（P ＜0.05 ）。结论 腹腔镜疝囊高位结扎术微创、手术和住 院时间短、并发症少，是治疗小儿腹股沟疝的理想术式。 【关键词】腹股沟疝；儿童；疝囊高位结扎术；腹腔镜；传统手术 The analysis of the clinical effect for laparoscopic treatment of 58 cases with inguinal hernia in children and 46 cases with high ligation of the groin incision hernia sac Liudengguo 【Abstract 】Objective To compare the clinical effect for laparoscopic treatment of 58 cases with inguinal hernia in children and 46 cases with high ligation of the groin incision hernia sac. Methods A retrospective analysis of our hospital in children with inguinal hernia104 cases clinical data, including laparoscopic high ligation of hernial sac in 58 cases as the laparoscopic group, traditional transabdominal inguinal incision high ligation of the hernial sac in children46 cases as control group, were compared between the two groups the average operation time, postoperative pain, hospital stay and duration the incidence of complications. Results The mean operative time, postoperative pain, duration of hospital stay of the laparoscopic groiup were (19.2±2.2) min, (22.6±4.5) h and (3.0±0.6) d, and the control group were (42.5±4.2) min, (56.2±6.0) h and (5.8±1.1) d, the differences between the two groups were statistically significant (P ＜0.05).The