论文部分内容阅读
目的评价经脐双通道腹腔镜手术与小切口开放手术治疗儿童左侧腹股沟斜疝的临床疗效。方法回顾性分析2007年4月至2012年4月首发左侧的腹股沟斜疝患儿经脐双通道腹腔镜手术治疗40例(腹腔镜手术组)与小切口开放手术治疗173例(开放手术组)的临床资料,对两组患者的手术时间、术后住院时间、总住院费用、术后精索阴囊肿胀及复发情况进行比较分析。结果腹腔镜手术组与开放手术组术后住院时间相比无显著性差异(P>0.05),而手术时间、总住院费用及术后精索阴囊肿胀情况相比有显著性差异(P<0.05),腹腔镜手术组中术后精索阴囊肿胀病例较少,而开放手术组所需手术时间及总住院费用则较少。开放手术组术后5例复发,余208例随访6个月至5年未见复发。此外,腹腔镜手术组于术中还发现右侧隐匿性疝16例。结论经脐双通道腹腔镜手术治疗可推广应用于首发于左侧的腹股沟斜疝患儿,具有微创、发现隐匿疝和术后并发症少的优点。
Objective To evaluate the clinical efficacy of dual-channel laparoscopic umbilical surgery and small incision open surgery in the treatment of children with left inguinal hernia. Methods A retrospective analysis of 40 cases (laparoscopic surgery group) and small incision open surgery in children with inguinal hernia on the left side of the first episode of inguinal hernia on April 2007 to April 2012 was performed in 173 cases (Open surgery group ) Of the clinical data, the two groups of patients operating time, postoperative hospital stay, total hospital costs, postoperative spermatic cord scrotal swelling and recurrence were compared. Results There was no significant difference in postoperative hospitalization time between laparoscopic surgery group and open surgery group (P> 0.05), but there was significant difference between operation time, total hospitalization cost and postoperative spermatic scrotal swelling ), There were fewer cases of postoperative spermatic scrotal swelling in laparoscopic surgery group, while the operation time and total hospitalization cost of open surgery group were less. In the open surgery group, 5 cases were relapsed after operation, and 208 cases were followed up for 6 months to 5 years without recurrence. In addition, laparoscopic surgery group also found in the right side of the occult herniation in 16 cases. Conclusion The dual-channel laparoscopic transurethral umbilical surgery can be widely used in children with inguinal hernia which has been initially developed in the left side. It has the advantages of minimally invasive treatment, concealed hernia and few postoperative complications.