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目的研究分析腹横纹切口对比腹腔镜手术治疗手术治疗小儿疝气的临床治疗效果。方法选取2015年10月至2016年11月我院收治的60例小儿疝气患者,其中10例嵌钝疝患者.随机分成两组。对照组30例,其中5例嵌钝疝患者,应用腹横纹切口手术治疗;观察组30例,其中5例嵌钝疝患者,采用腹腔镜手术治疗。统计比较两组患者的手术时间、肠管血运情况、平均住院时间及并发症情况。结果观察组非嵌钝疝患者腹横纹切口的手术及住院时间与对照组无明显差异(P>0.05),但嵌钝疝患者腹腔镜手术在创伤,肠管血运情况,术后恢复显著优于腹横纹切口组,差异具有显著性(P<0.05);观察组术后并发症发生比例低于腹横纹切口组,差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗小儿嵌钝疝气具有手术时间短、创伤小、恢复快以及疗效明显等优点,能够降低术后并发症,值得应用与推广。
Objective To study the clinical effect of abdominal transverse incision versus laparoscopic surgery on pediatric hernia. Methods Sixty children with hernia admitted to our hospital from October 2015 to November 2016, including 10 patients with blunt hernia, were randomly divided into two groups. Control group of 30 cases, including 5 cases of blunt hernia patients, abdominal transverse incision surgery; observation group of 30 cases, 5 cases of blunt hernia patients, the use of laparoscopic surgery. Statistics were compared between two groups of patients operating time, intestinal blood flow, the average length of stay and complications. Results There was no significant difference in operation and hospital stay between the two groups (P> 0.05). However, the laparoscopic surgery with blunt hernia had a significant improvement in trauma, intestinal blood supply and postoperative recovery (P <0.05). The incidence of postoperative complications in observation group was lower than that in abdominal transverse incision group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery in children with blunt hernia hernia surgery has the advantages of short operative time, small trauma, rapid recovery and obvious curative effect, which can reduce postoperative complications and is worthy of application and promotion.