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目的探讨小切口治疗小儿疝气的临床效果。方法选择2010年1月至2012年12月濮阳县人民医院普外科收治的小儿疝气132例,将其随机分为对照组和观察组,每组66例。对照组采用传统手术方式治疗,而观察组则采用小切口手术方式进行治疗。结果对两组患儿采用不同手术方式治疗,观察组切口(1.12±0.36)cm,手术时间(5.26±1.40)min,留院时间(3.74±0.40)h,术后并发症出现阴囊肿胀4例(6.06%);对照组切口(4.12±0.41)cm,手术时间(18.72±0.94)min,留院时间(25.64±10.4)h,术后出现阴囊肿胀12例(18.2%),切口感染6例(9.09%),两组比较差异有统计学意义(P<0.05)。结论小切口治疗小儿疝气具有手术切口小、手术时间短、恢复快、痛苦小及并发症少等优点,值得临床学习推广。
Objective To investigate the clinical effect of small incision in treating hernia in children. Methods From January 2010 to December 2012, Puyang County People’s Hospital General Surgery admitted 132 cases of hernia, were randomly divided into control group and observation group, 66 cases in each group. The control group was treated by traditional surgery, while the observation group was treated by small incision. Results The two groups of children were treated with different surgical methods. The incision (1.12 ± 0.36) cm, the operation time (5.26 ± 1.40) min, the length of stay in hospital (3.74 ± 0.40) h, and the postoperative complication scrotal swelling in 4 cases (6.06%). The control group incision (4.12 ± 0.41) cm, operation time (18.72 ± 0.94) min, hospital stay time (25.64 ± 10.4) h, scrotal swelling in 12 cases (18.2%), incision infection in 6 cases (9.09%), the difference between the two groups was statistically significant (P <0.05). Conclusion Small incision in children with hernia surgery with small incision, short operative time, rapid recovery, less pain and fewer complications, is worth clinical promotion.