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目的比较腹腔镜疝囊高位结扎术与经腹股沟切口疝囊高位结扎术治疗小儿腹股沟疝的临床效果。方法回顾性分析我院收治的腹股沟疝患儿104例的临床资料,其中行腹腔镜疝囊高位结扎术患儿58例作为腹腔镜组,行传统经腹股沟切口疝囊高位结扎术患儿46例作为对照组,比较两组平均手术时间、术后疼痛持续时间、住院时间及并发症发生情况。结果腹腔镜组平均手术时间、术后疼痛持续时间和住院时间分别为(19.2±2.2)min,(22.6±4.5)h和(3.0±0.6)d;对照组分别为(42.5±4.2)min,(56.2±6.0)h和(5.8±1.1)d,两组比较差异均有统计学意义(P<0.05)。腹腔镜组出现阴囊水肿2例,无皮下血肿和鞘膜积液发生;对照组出现阴囊水肿5例,皮下血肿3例,继发鞘膜积液2例,腹腔镜组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜疝囊高位结扎术微创、手术和住院时间短、并发症少,是治疗小儿腹股沟疝的理想术式。
Objective To compare the clinical effect of laparoscopic high ligation of hernia sac and high ligation of inguinal hernia sac in the treatment of infantile inguinal hernia. Methods A retrospective analysis of 104 cases of inguinal hernia in our hospital clinical data, of which 58 cases of laparoscopic high ligation of hernia sac as a laparoscopic group, the traditional inguinal hernia sac in patients with high ligation of 46 cases As control group, the average operation time, postoperative pain duration, hospitalization time and complications were compared. Results The average operation time, postoperative pain duration and hospital stay in laparoscopic group were (19.2 ± 2.2) min, (22.6 ± 4.5) h and (3.0 ± 0.6) d, respectively. The control group were (42.5 ± 4.2) min, (56.2 ± 6.0) h and (5.8 ± 1.1) d, respectively. There was significant difference between the two groups (P <0.05). There were 2 cases of scrotal edema in the laparoscopic group, no subcutaneous hematoma and hydrocele occurred; 5 cases of scrotal edema, 3 cases of subcutaneous hematoma, 2 cases of secondary hydrocele, the incidence of complications in laparoscopic group was lower than that in control group Control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic hernia sac high ligation minimally invasive surgery and hospitalization time is short, less complications, is the ideal surgical treatment of children with inguinal hernia.