摘要
目的探讨自制双孔导线针在腹腔镜小儿腹股沟疝手术中的应用价值。方法回顾性分析2006年4月-2010年6月行腹腔镜小儿腹股沟疝手术655例患儿的临床资料。单孔针手术组452例,双孔针手术组203例,将两组患儿术中、术后资料进行对比分析。结果单孔针组手术时间(17.7±3.5)min;术中出血(5.4±1.3)mL,住院时间(2.5±1.0)d发生腹壁下小血肿15例,术后复发3例;双孔针组手术时间(8.2±2.3)min,术中出血(1.4±0.3)mL,住院时间(2.1±0.8)d,发生腹壁下小血肿2例,术后复发1例。双孔针组的手术时间、术中出血、并发症发生率等均明显优于双孔针组(P<0.05),两组住院天数、复发率差异均无统计学意义(P>0.05)。结论自制双孔导线缝扎针在腹腔镜小儿腹股沟疝手术中应用能够缩短手术时间,操作安全快捷,创伤更小等优点,值得推广应用。
Objective To explore the clinical value of self-made diplopore suture needle in laparoscopic herniorrhaphy in children.Methods The clinical data of 655 patients who underwent laparoscopic herniorrhaphy between April 2006 and June 2010 were retrospectively analyzed.The patients were divided into the single-hole needle group（452 patients） and the diplopore needle group（203 patients）,and the operative and post-operative data of the two groups were analyzed and compared.Results The operation time in the single-hole needle group was（17.7±3.5） minutes and the bleeding volume during the operation was（5.4±1.3） mL;while 15 patients suffered from small hematoma under the abdominal wall and three recurred.The operation time in the diplopore needle group was（8.2±2.3） minutes with（1.4±0.3） mL blood loss;while two patients suffered from small hematoma under the abdominal wall and one recurred.The patients in the single-hole needle group stayed in the hospital for（2.5±1.0） days,while the patients in diplopore needle group stayed for（1.4±0.3） days.The operation time,bleeding volume,rate of complications in diplopore needle group were significantly less than those in the single-hole needle group（P〈0.05）.The hospital staying days,and the recurrence rate in the two groups didn’t differ much（P〉0.05）.Conclusion The advantages of self-made diplopore needle in laparoscopic herniorrhaphy in children include short operation time,less trauma,and simple operation;it is worth generalizing and applying.
出处
《华西医学》
CAS
2011年第3期378-381,共4页
West China Medical Journal
关键词
小儿腹腔镜
腹股沟疝
双孔导线缝针
Laparoscopy for children； Inguinal hernia； Diplopore suture needle；
