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目的:探讨和分析腹腔镜与传统手术治疗小儿腹股沟斜疝疾病的临床效果。方法:研究选择2014年8月-2017年8月间在我院治疗的110例小儿腹股沟斜疝患儿当做研究对象,遵循患儿的入院顺序分甲组、乙组,每组55例。乙组患儿通过传统手术进行治疗,而甲组患儿通过腹腔镜手术进行治疗,评价甲乙两组患儿的手术时间、术中出血量、切口大小、自主活动时间、术后住院时间、并发症以及复发情况。结果:甲组患儿的手术时间(12.33±2.35)min、术中出血量(1.43±0.18)ml、切口大小(5.83±2.11)mm、自主活动时间(13.05±1.68)min、术后住院时间(3.03±1.01)d均优于乙组患儿[(22.05±3.47)min、(5.33±0.47)ml、(10.21±5.31)mm、(22.44±2.63)min、(7.04±1.35)d],差异对比具有统计学意义(t=17.201、55.468、5.685、22.314、17.639,P=0.000)。乙组患儿并发症的总发生率(18.18%)大于甲组患儿(5.45%),差异对比具有统计学意义(X2=4.274,P=0.039)。乙组患儿腹股沟斜疝的复发率(12.73%)大于甲组患儿(1.82%),差异对比具有统计学意义(X2=4.853,P=0.028)。结论:在小儿腹股沟斜疝患儿的治疗中,腹腔镜手术的手术情况优于传统手术,并且腹腔镜手术的并发症、复发等概率也要低于传统手术。
Objective: To investigate and analyze the clinical effect of laparoscopic and traditional surgical treatment of inguinal hernia in children. Methods: A total of 110 children with indirect inguinal hernia admitted to our hospital from August 2014 to August 2017 were enrolled in this study. The patients admitted to hospital were divided into groups A and B, 55 cases in each group. Group B children were treated by traditional surgery, while Group A children treated by laparoscopic surgery, evaluation of A and B groups of children with operation time, blood loss, incision size, independent activity time, postoperative hospital stay, complications Symptoms and recurrence. Results: The operation time (12.33 ± 2.35) min, intraoperative bleeding volume (1.43 ± 0.18) ml, incision size (5.83 ± 2.11) mm, voluntary activity time (13.05 ± 1.68) min, postoperative hospital stay (3.03 ± 1.01) d were better than those in group B [(22.05 ± 3.47) min, (5.33 ± 0.47) ml, (10.21 ± 5.31) mm, (22.44 ± 2.63) min, The differences were statistically significant (t = 17.201,55.468,5.685,22.314,17.639, P = 0.000). The total incidence of complications in group B (18.18%) was greater than that in group A (5.45%). The difference was statistically significant (X2 = 4.274, P = 0.039). The recurrence rate of inguinal indirect hernia in group B (12.73%) was higher than that in group A (1.82%). The difference was statistically significant (X2 = 4.853, P = 0.028). Conclusion: In the treatment of infantile inguinal hernia, the operation of laparoscopic surgery is better than that of traditional surgery, and the probability of complications and recurrence of laparoscopic surgery is lower than that of traditional surgery.