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目的:评价小儿腹股沟斜疝的腹腔镜疝囊高位结扎术和腹横纹小切口疝囊高位结扎术两种微创手术方法,以利于临床进行合理选择。方法:对接受这两种手术方式之一的患儿进行随访,在切口大小、手术时间、治疗费用、治疗效果、术后复发等方面进行比较,将变量结果进行统计学分析。结果:行手术且获得随访893例,下腹部小切口手术方式在手术时间、治疗费用方面较腹腔镜组间的差异有统计学意义,但该种手术方式不能排除对侧患病的隐患。结论:腹部小切口手术治疗腹股沟斜疝更具有微创特点,腹腔镜在排除对侧患病隐患和治疗复发性腹股沟斜疝方面更具有优势。
OBJECTIVE: To evaluate two minimally invasive surgical procedures for laparoscopic high herniation of lumbar hernia in children with inguinal hernia and high ligation of hernia sac in small transverse incision. Methods: The children who received one of these two surgical procedures were followed up, and the results of the variables were statistically analyzed in terms of incision size, operation time, treatment cost, treatment effect and postoperative recurrence. Results: There were significant differences between the laparoscopic group and the operation mode in the operation of 893 cases. There was a significant difference in operation time and cost between the two groups. However, this surgical method can not exclude the contralateral disease. Conclusions: Small abdominal incision for treatment of inguinal hernia is more characteristic of minimal invasion. Laparoscopy is more advantageous in the treatment of hidden contralateral disease and treatment of recurrent inguinal hernia.