摘要
目的探讨腹腔镜下疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果。方法选取2018年10月~2019年9月我院收治的80例小儿腹股沟斜疝作为研究对象,按照随机数字表法分为观察组(40例)与对照组(40例)。对照组实施常规开放疝囊高位结扎术,观察组实施腹腔镜下疝囊高位结扎术。比较两组的手术及麻醉相关指标(手术时间、术中出血量及麻醉苏醒时间)、术后恢复情况(肠鸣音恢复正常时间、肛门排气时间和经肛门排便时间)、围术期并发症(麻醉苏醒延迟、术后出血、术后感染及术后严重疼痛发生情况)发生率,统计两组的临床疗效。结果观察组的手术时间短于对照组,术中出血量少于对照组,麻醉苏醒时间短于对照组,差异有统计学意义(P<0.05);观察组的术后肠鸣音恢复正常时间、肛门排气时间和经肛门排便时间均短于对照组,差异有统计学意义(P<0.05);观察组发生麻醉苏醒延迟、术后出血、术后感染及术后严重疼痛的比例低于对照组,差异有统计学意义(P<0.05)。两组术后疝囊均消失,术后顺利康复出院。结论针对小儿腹股沟斜疝实施腹腔镜下疝囊高位结扎术具有手术耗时短、创伤小、术后恢复快等优点,值得临床推广。
Objective To explore the clinical effect of laparoscopic high ligation of hernial sac in the treatment of indirect inguinal hernia in children.Methods A total of 80 cases with indirect inguinal hernia in our hospital from October 2018 to September 2019 were selected as the research objects,and they were divided into the observation group(40 cases)and the control group(40 cases)according to the random number table method.The control group was received routine open high ligation of hernial sac,the observation group was received laparoscopic high ligation of hernial sac.The operation and anesthesia related indexes(operation time,intraoperative blood loss and anesthesia recovery time),postoperative recovery(recovery time of bowel sounds,anal exhaust time and anal defecation time),perioperative complications(anesthesia recovery delay,postoperative bleeding,postoperative infection and postoperative severe pain)were compared between the two groups,the clinical effects in the two groups was counted.Results The operation time in the observation group was shorter than that in control group,the intraoperative blood loss in the observation group was less than that in the control group,the anesthesia recovery time in the observation group was shorter than that in the control group,the differences were statistically significant(P<0.05).The recovery time of bowel sounds,the exhaust time and the defecation time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of anesthesia recovery delay,postoperative bleeding,postoperative infection and postoperative severe pain in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The hernial sac disappeared in both groups after operation,and they recovered smoothly and were discharged from hospital.Conclusion Laparoscopic high ligation of hernial sac for indirect inguinal hernia in children have the advantages of short operation time,sm
作者
林家洪
尹姜弢
高小阳
黎远康
林志豪
LIN Jia-hong;YIN Jiang-tao;GAO Xiao-yang;LI Yuan-kang;LIN Zhi-hao(Department of Surgery,Maternal and Child Health Hospital of Duanzhou District of Zhaoqing City,Guangdong Province,Zhaoqing 526040,China)
出处
《中国当代医药》
2020年第16期130-133,共4页
China Modern Medicine
关键词
腹腔镜
疝囊高位结扎
小儿
腹股沟斜疝
Laparoscopy
High ligation of hernial sac
Children
Indirect inguinal hernia
