论文部分内容阅读
目的观察经脐单切口与双口腹腔镜疝囊高位结扎术的临床应用,总结出各自的特点。方法选取我院2009年12月至2012年3月收治的小儿腹股沟斜疝患者70例,随机选取35例行经脐单切口腹腔镜疝囊高位结扎术,另外35例行双口腹腔镜疝囊高位结扎术,并对两组患者的术后疗效进行对比分析。结果单切口组术后疼痛持续时间、恢复正常活动时间、住院时间明显短于双口组(P<0.05),美容效果好;双口组手术时间明显短于单切口组,差异有统计学意义(P<0.05);两组患者在术后并发症上比较,差异无统计学意义(P>0.05)。结论经脐单切口与双口腹腔镜疝囊高位结扎术都是可靠、有效的,在临床实践中应根据术者的经验和手术熟练程度以及患者的综合条件选择术式进行治疗。
Objective To observe the clinical application of lumbar single-incision and double-port laparoscopic ligation of high ligation, and summarize their own characteristics. Methods Seventy patients with inguinal hernia in children admitted to our hospital from December 2009 to March 2012 were randomly selected, and 35 cases were randomly selected for laparoscopic high-ligation of the hernia sac through the umbilical incision. The other 35 cases received double laparoscopic hernia sac High ligation, and the two groups of patients after surgery for comparative analysis. Results The duration of postoperative pain, the time of returning to normal activity and hospital stay in single-incision group were significantly shorter than those in double-mouth group (P <0.05), and the cosmetic effect was good. The operation time in double-mouth group was significantly shorter than that in single incision group (P <0.05). There was no significant difference in postoperative complications between the two groups (P> 0.05). Conclusions The transumbilical single incision and double laparoscopic high ligation of laparoscopic hernia sac are reliable and effective. In clinical practice, they should be treated according to the surgeon ’s experience and surgical proficiency as well as the patients’ comprehensive conditions.