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目的:探讨传统小切口小儿疝束高位结扎术与腹腔镜疝囊高位结扎术治疗小儿疝气的临床疗效。方法:2014年1月-2016年1月我院收治的76例小儿疝气患者随机分为两组,即治疗组和对照组(n=38),治疗组采用腹腔镜疝囊高位结扎术,对照组采用传统小切口小儿疝束高位结扎术,比较两组患者的切口长度、出血量、手术时间和术后并发症等。结果:治疗组患者的切口长度、出血量和手术时间均显著优于对照组(P<0.05),具有统计学差异。并且治疗组患者恢复较快。我们对所有患者进行了为期2个月的随访,结果显示治疗组有1例患者出现疝囊残留积液,门诊观察,能自行吸收;1例出现腹膜后血肿。对照组患者有14例出现不同程度阴囊肿胀。结论:腹腔镜疝囊高位结扎术治疗小儿疝气具有手术创伤小、术后疼痛轻、恢复快、住院时间短、无切口瘢痕等优点,是治疗小儿疝气较理想的手术方式。
Objective: To investigate the clinical efficacy of high-pressure ligation of pediatric hernia and laparoscopic high ligation of hernia sac in pediatric hernia. Methods: From January 2014 to January 2016, 76 children with hernia admitted to our hospital were randomly divided into two groups: the treatment group and the control group (n = 38). The patients in the treatment group received laparoscopic high ligation of the hernia sac and the control group Group using the traditional small incision pediatric hernia bundle ligation, incision length, bleeding volume, operation time and postoperative complications in two groups were compared. Results: The incision length, bleeding volume and operation time in the treatment group were significantly better than those in the control group (P <0.05), with statistical significance. And the treatment group patients recover faster. We conducted a 2-month follow-up of all patients. The results showed that 1 patient in the treatment group had effusion of the hernia sac, out-patient observation, and self-absorption; 1 patient had retroperitoneal hematoma. In the control group, there were 14 cases of varying degrees of scrotal swelling. Conclusion: High ligation of laparoscopic hernia sac in pediatric hernia has the advantages of less surgical trauma, less postoperative pain, faster recovery, shorter hospital stay, and no incision scar. It is a better surgical treatment for infantile hernia.