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外科研究与新技术（中英文）

外科研究与新技术 ›› 2018, Vol. 7 ›› Issue (3): 181-183.doi: 10.3969/j.issn.2095-378X.2018.03.008

• 论著 • 上一篇    下一篇

腹腔镜治疗小儿腹股沟斜疝的临床疗效

陈利, 张国波   

  1. 遵义医学院第五附属(珠海)医院小儿外科,珠海 519100
  • 收稿日期:2018-05-22 出版日期:2018-09-28 发布日期:2019-12-16
  • 作者简介:陈 利(1983—),男,本科,主治医师,从事临床小儿外科;电子信箱:184646345@qq.com

Clinical effects of laparoscopic indirect inguinal hernia repair in children

CHEN Li, ZHANG Guobo   

  1. Department of Pediatric Surgery, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai 519100, China
  • Received:2018-05-22 Online:2018-09-28 Published:2019-12-16

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摘要： 目的 探讨腹腔镜手术在小儿腹股沟斜疝(PIH)患儿中的临床疗效。方法 选取2013年1月—2018年3月进行腹腔镜手术治疗的255例PIH患儿作为腹腔镜组,同期选取进行传统疝囊高位结扎术治疗的183例小儿PIH患儿作为对照组;比较两组患儿手术时间、术中出血量、术后活动恢复时间、住院时间、术后疼痛、术后并发症及半年内复发率。 结果 腹腔镜组手术时间[(19.75±1.24) min对(25.16±1.63) min]、术后恢复自主活动时间[(19.12±2.17) h对 (28.24±3.46) h]及住院时间[(3.21±0.87) d对 (5.13±0.95) d]均显著短于对照组(P<0.05);且术中出血量[(3.12±0.64) mL对 (10.63±1.71) mL,P<0.05]、术后并发症发生率[(1.18%对8.20%,χ2=13.3244,P<0.05)]、复发率[(0.00%对 2.73%,χ2=4.8345,P<0.05)]均显著低于对照组。结论 腹腔镜手术治疗小儿腹股沟斜疝,微创,手术时间短,术后恢复快,并发症和复发率低,值得临床推广。

关键词: 腹股沟斜疝, 手术, 腹腔镜, 小儿

Abstract: Objective To explore the clinical effects of laparoscopic indirect inguinal hernia repair in children.Methods A total of 255 patients with pediatric indirect inguinal hernia (PIH) who received laparoscopic indirect inguinal hernia repair (laparoscopic group) and 183 PIH children who received conventional operation (control group) from January 2013 to September 2018 were enrolled in the study.The operation time, blood loss volume during operation, ability recovery time, hospital stay time, postoperation pain, complication rate, and half-year recurrence rate were compared between the two groups.Results The operation time [(19.75±1.24) min vs.(25.16±1.63) min], ability recovery time [(19.12±2.17) h vs.(28.24±3.46) h)], and hospital stay time [(3.21±0.87) d vs.(5.13±0.95) d] of the laparoscopic group were significantly shorter than those of the control group (P<0.05); the blood loss volume during operation [(3.12±0.64) mL vs.(10.63±1.71) mL], complication rate (1.18% vs.8.20%; χ2=13.3244),and half-year recurrence rate (0.00% vs.2.73%; χ2=4.8345) of the laparoscopic group were also significantly lower than those of the control group (P<0.05).Conclusion Laparoscopic indirect inguinal hernia repair for PIH not only saves operation time, but also benefits patients’ recovery, with less complications and recurrences, which deserves clinical promotion.

Key words: Pediatric indirect inguinal hernia, Operation, Laparoscope, children

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