摘要
目的 研究腹腔镜下单孔疝囊高位结扎术对腹股沟疝患儿术后并发症和复发率的影响.方法 选取我院2016年2月至2018年2月的180例腹股沟疝患儿作为研究对象,按照随机数字表法将其分为观察组与对照组,各90例.观察组采取腹腔镜下单孔疝囊高位结扎术进行治疗,对照组采取传统开刀疝囊高位结扎术进行治疗.比较两组的出血量、单、双侧疝手术时间、引流量、下床时间、排气时间、排便时间、住院时间及手术切口长度;比较两组术前及术后1、2周的CRP、IL-6、IL-8、TNF-α水平;比较两组并发症发生情况及复发情况.结果 观察组的出血量、双侧疝手术时间、下床时间、排气时间、排便时间、住院时间及手术切口长度均显著优于对照组,差异具有统计学意义(P<0.05);两组的单侧疝手术时间及引流量比较,差异无统计学意义(P>0.05).术后1、2周,两组CRP、IL-6、IL-8、TNF-α水平均显著升高,但观察组低于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率为4.44%,显著低于对照组的13.33%,差异具有统计学意义(P<0.05).两组的复发率比较,差异无统计学意义(P>0.05).结论 腹腔镜下单孔疝囊高位结扎术治疗腹股沟疝患儿的效果显著,可减少术后炎症反应,提高免疫功能,且相较于传统手术可降低复发及并发症风险.
Objective To study the effect of laparoscopic single-holehernia sachigh ligation on postoperative complications and recurrence rate in children with inguinal hernia. Methods A total of 180 children with inguinal hernia in our hospital from February 2016 to February 2018 were selected as the study objects. According to the random number table method,the children were divided into observation group and control group, with 90 cases in each group. The observation group was treated with laparoscopic single-holehernia sachigh ligation, the control group was treated with traditional surgical incisionhernia sachigh ligation. The bleeding volume, operation time of unilateral and bilateral hernia, drainage volume,time of getting out of bed, exhaust time, defecation time, hospitalization time and surgical incision length were compared between the two groups. The levels of CRP、IL-6、IL-8、TNF-α before and 1 and 2 weeks after operation were compared between the two groups. Complications and recurrence were compared between the two groups. Results The bleeding volume, operation time of bilateral hernia, time of getting out of bed, exhaust time, defecation time, hospitalization time and surgical incision length in the observation group were significantly better than those in the control group, and the differences were statistically significant(P <0.05). There were no significant differences in operation time of unilateral hernia and drainage volume between the two groups(P>0.05). At 1 and 2 weeks after operation, the levels of CRP, IL-6,IL-8 and TNF-α in the two groups increased, but those in the observation group were lower than the control group, and the differences were statistically significant(P<0.05). The total incidence of complications in the observation grou was 4.44%,which was significantly lower than 13.33% in the control group, and the difference was statistically significant( P <0.05). There was no significant difference in the recurrence rate between the two groups(P>0.05). Conclusion Laparoscopic single-hol
作者
周龙友
魏锋
ZHOU Long-you;WEI Feng(the First Hospital of Weinan,Weinan 714000;the People's Hospital of Xixiang County,Hanzhong 723500,China)
出处
《临床医学研究与实践》
2019年第33期82-84,共3页
Clinical Research and Practice
关键词
腹腔镜
单孔疝囊高位结扎术
腹股沟疝
laparoscope
single-holehernia sachigh ligation
inguinal hernia
