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目的探讨治疗小儿腹股沟斜疝应用腹腔镜与传统术式的疗效比较及其优缺点。方法 66例腹股沟斜疝患儿,按随机分组方法分为腹腔镜组(观察组32例)和传统手术组(对照组34例)。观察记录两组术中情况、手术时间、住院时间、手术并发症及术后复发情况。结果观察组与对照组比较术中出血量少、手术时间短、住院时间短,术后并发症发生率与复发率低,差异具有统计学意义(P<0.05)。结论腹腔镜治疗小儿腹股沟斜疝,具有创伤较小、操作简单、出血少、术后恢复快、对精索损伤小、复发率及并发症少等优点,相比传统手术有明显优势。
Objective To investigate the clinical efficacy and advantages and disadvantages of laparoscopic and conventional surgical treatment of children with inguinal hernia. Methods Sixty - six patients with inguinal hernia were randomly divided into laparoscopic group (observation group, 32 cases) and conventional surgery group (34 cases, control group). Observation and recording of two groups of intraoperative conditions, operation time, hospital stay, surgical complications and postoperative recurrence. Results Compared with the control group, the observation group had less intraoperative blood loss, shorter operation time, shorter hospital stay, and lower postoperative complication rate and recurrence rate (P <0.05). Conclusion Laparoscopic treatment of children with inguinal hernia, with less trauma, simple operation, less bleeding, postoperative recovery, less sphincter injury, recurrence rate and fewer complications, compared with the traditional surgery has obvious advantages.