腹腔镜下小儿腹股沟斜疝超高位结扎术的临床观察与护理要点分析.docVIP

精品论文 参考文献 腹腔镜下小儿腹股沟斜疝超高位结扎术的临床观察与护理要点分析 姚琴 李华 杜秀云 [摘 要]目的：探究腹腔镜下小儿腹股沟斜疝超高位结扎术的应用价值，并总结其护理要点。方法：选取我院在2013年9月至2015年5月期间收治的小儿腹股沟斜疝患者78例作为研究对象，采用随机数字法将其分为对照组和实验组，对照给予常规手术方式进行治疗，实验组给予腹腔镜下小儿腹股沟斜疝超高位结扎术进行治疗，并总结护理要点。对比两组患者临床治疗效果。结果：与对照组相比，手术时间、术中出血量、住院时间及术后并发症发生率均明显较优，对比Plt;0.05，存在统计学意义。两组复发率对比Pgt;0.05。结论：腹腔镜下小儿腹股沟斜疝超高位结扎术具有显著的临床效果，给予有效的护理干预可提升治疗效果，值得应用推广。 [关键词]腹腔镜 小儿腹股沟斜疝 超高位结扎术 护理 DOI:10.3760/cma.j.issn.1674-2907.2016.9.1057 作者单位：830054，新疆维吾尔，新疆维吾尔自治区人民医院 Pediatric inguinal hernia under laparoscopic high ligation of clinical observation and nursing key points of analysis Yao Qin,Li Hua, Du Xiuyun Abstract：Objective: To explore pediatric inguinal hernia under laparoscopic high ligation of application value, and summarize the nursing key points. Methods: Select our hospital in September 2013 to May 2015 treated 78 cases of pediatric inguinal hernia patients as the research object, it can be divided into control group and experimental group by random number method, contrast to conventional surgical procedure for treatment, the experimental group for pediatric inguinal hernia under laparoscopic high ligation for treatment, and summarize the nursing key points. Compared two groups of patients with clinical therapeutic effect.Results: Compared with control group, operation time, intraoperative blood loss, hospital stay and postoperative complication rates were significantly better, contrast (P lt; 0.05, there is statistical significance. Two groups of the recurrence rate (P gt; 0.05.Conclusion: Pediatric inguinal hernia under laparoscopic high ligation has significant clinical effect, to give effective nursing intervention can enhance therapeutic effect, is worth popularizing application. Keywords：Laparoscopic; Pediatric inguinal hernia; Ultra high ligation; nursing 在临床上小儿腹股沟斜疝是一种常见的儿科疾病，常规治疗方法为开放手术进行治疗，但是其治疗效果并不理想，在近些年来，随着微创技术的广泛应用，为其治疗提供了依据，腹腔镜下小儿腹股沟斜疝超高位结扎术的优势越来越突出，其优势为恢复快，痛苦少，有较低的复发率，没有瘢痕，而且不会对提睾肌和精索造成损伤，对股管完整的解剖结构有保留作用[1]。而有效的护理措施是提升治疗效果的关键，为探究其临床治疗效果