摘要
目的:探讨三孔法、双孔法及单孔法腹腔镜手术治疗小儿鞘状突未闭的临床疗效及安全性。方法:选取2014年3月至2016年6月收治的150例鞘状突未闭患儿,以随机数字表法分为A组(n=50)、B组(n=50)及C组(n=50),分别采用三孔法、双孔法及单孔法腹腔镜手术;比较3组手术时间、住院时间、总治疗费用、手术并发症发生率、复发率及瘢痕形成率。结果:B、C组手术时间、住院时间短于A组(P<0.05),C组患儿瘢痕形成率低于A、B两组(P<0.05),3组患儿总治疗费用、手术并发症发生率、复发率差异无统计学意义(P>0.05)。结论:单孔腹腔镜手术治疗小儿鞘状突未闭可有效缩短手术时间、术后住院时间,提高手术美观性,未增加手术并发症及复发风险。
Objective:To investigate the clinical effects and safety of three-port,double-port and single-port laparoscopic operation for the treatment of children with processus vaginalis.Methods:One hundred and fifty children with processus vaginalis were chosen in the period from Mar.2014 to Jun.2016 and randomly divided into 3 groups,including Group A(n=50)with three-port laparoscopy,Group B(n=50)with double-port laparoscopy and Group C(n=50)with single-port laparoscopy;and the operation time,hospitalization time,total treatment cost,the complication incidence,the recurrence rate and the scar formation rate of three groups were compared.Results:The operation time and hospitalization time of Group B and Group C were significantly shorter than those of Group A(P<0.05).The scar formation rate of Group C was significantly lower than that of Group A and Group B(P<0.05).There was no significant difference in the total treatment cost,complication incidence or recurrence rate among 3 groups(P>0.05).Conclusions:Compared with three-port and double-port laparoscopy,single-port laparoscopy for the treatment of children with processus vaginalis is able to efficiently shorten the operation time,reduce the postoperative hospitalization time,improve the operative cosmetic result,and dose not increase the risk of operation complications or recurrence.
作者
马卿
MA Qing(Department of Pediatric Surgery,the First Affiliated Hospital of Xinxiang Medical College,453100)
出处
《腹腔镜外科杂志》
2018年第12期940-942,946,共4页
Journal of Laparoscopic Surgery
关键词
鞘状突未闭
儿童
腹腔镜检查
三孔
双孔
单孔
Patent processus vaginalis
Child
Laparoscopy
Three-port
Double-port
Single-port
