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目的:系统地对比两种不同的腹腔镜术式在小儿腹股沟斜疝治疗中的应用价值。方法:选取翁源县人民医院收治的120例小儿腹股沟斜疝患儿,本组均行腹腔镜高位结扎疝囊术治疗,结合临床随机表法将其平均地列入观察组与对照组,观察组与对照组分别使用直接缝合法与导引针缝合法,对比两组疗效。结果:观察组患儿手术时间(16.2±4.7)min,下床活动时间(1.6±0.5)d,拆线时间(5.7±0.8)d,总住院时间(3.7±0.8)d,并发症的发生率6.7%,对照组患儿手术时间(14.2±4.3)min,下床活动时间(1.4±0.3)d,拆线时间(6.5±0.6)d,总住院时间(2.6±0.5)d,并发症的发生率是8.3%,差异均无统计学意义(P>0.05)。结论:在小儿腹股沟斜疝的腹腔镜手术治疗中,直接缝合法与导引针缝合法均能够获得满意的疗效,但是直接缝合法对术者的操作水平的要求更高。
Objective: To systematically compare the value of two different laparoscopic surgery in the treatment of children with inguinal hernia. Methods: 120 cases of infantile inguinal hernia admitted to the People’s Hospital of Wengyuan County were selected. All patients underwent laparoscopic high ligation hernia sac treatment. The patients were randomly divided into observation group and control group Group and control group were used direct suture method and guided suture method, the two groups were compared. Results: The operation time (16.2 ± 4.7) min, ambulation time (1.6 ± 0.5) d, removal time (5.7 ± 0.8) d, total hospital stay (3.7 ± 0.8) d and complications (6.7 ± 0.5) d, 6.7% of the control group, operation time of the control group (14.2 ± 4.3) min, ambulation time (1.4 ± 0.3) d, disconnection time (6.5 ± 0.6) d, total hospital stay The incidence was 8.3%, the difference was not statistically significant (P> 0.05). Conclusion: In the treatment of indirect inguinal hernia in children with laparoscopic surgery, direct suture method and guided suture method can achieve satisfactory results, but the direct suture method requires a higher level of operation of the surgeon.