摘要
目的:比较脐缘单孔腹腔镜手术与腹股沟小切口手术治疗儿童鞘膜积液的临床疗效。方法:选取2017年7月1日至2018年6月30日就诊于我院小儿外科并行腹股沟小切口治疗的患儿111例为对照组,2018年7月1日至2019年6月30日就诊于我院小儿外科并行脐缘单孔腹腔镜治疗的患儿165例为研究组,对两组患儿手术时间、术中出血量、住院费用、住院时间、术后阴囊肿胀、术后复发率、术后并发症(切口感染、睾丸萎缩)发生率等进行观察比较分析。结果:所有患儿手术均顺利完成,研究组术中发现患儿合并隐性鞘状突未闭有80例(约占术前诊断单侧例数的49.4%),研究组与对照组患儿手术时间分别为(15.5±3.27)min和(32.2±4.12)min、术中出血量分别为(0.85±0.37)mL和(3.43±1.46)mL、患儿住院费用分别为(6414.77±231.46)元和(5248.14±287.76)元及术后阴囊肿胀发生率分别为3.6%和62.2%,两组比较差异均有统计学意义(P均<0.05);研究组与对照组患儿住院时间分别为(2.0±0.52)d和(2.0±0.56)d、术后复发率分别为1.2%和0%及术后并发症(感染、睾丸萎缩)发生率分别为0%和0%,两组比较差异无统计学意义(P>0.05)。结论:单孔脐缘腹腔镜在儿童性鞘膜积液的治疗中,虽住院费用较传统腹股沟切口高,但有着创伤小、恢复快、手术时间短、安全可靠、且能发现并同时结扎对侧鞘状突等优点。
Objective:To compare the clinical efficacy of umbilical edge single port laparoscopic surgery in the treatment of pediatric hydrocele and inguinal incision.Methods:A total of 111 cases of children who underwent inguinal small incision treatment from July 2017 to June 2018 in our hospital were regarded as the control group,while 165 cases of children who received umbilical single port laparoscopic treatment from July 2018 to June 2019 in our hospital were regarded as the study group.The operation time,intraoperative blood loss,hospitalization cost,hospitalization time,postoperative scrotal swelling,postoperative recurrence rate,postoperative complications(incision infection,testicular atrophy)of the two groups were compared respectively.Results:The operation time,the intraoperative blood loss,the hospitalization cost,the incidence of postoperative scrotal swelling of the two groups were(15.5±3.27)min and(32.2±4.12)min,(0.85±0.37)mL and(3.43±1.46)mL,(6414.77±231.46)yuan and(5248.14±287.76)yuan,3.6%and 62.2%respectively,which showed a significant statistical difference(P<0.05).The hospitalization time,postoperative recurrence rate and postoperative complications(infection,testicular atrophy)of the two groups were(2.0±0.52)day and(2.0±0.56)day,1.2%and 0%,0%and 0%respectively.The difference was not statistically significant(P>0.05).Conclusion:It can be concluded that single port laparoscopic is suggested to be promoted and applied.Although the cost of hospitalization of single port laparoscopic in the treatment of hydrocele in children is higher than that of traditional inguinal incision.Compared with traditional inguinal incision,single port laparoscopic has the advantages of smaller trauma,faster recovery,shorter operation time;safer and more reliable.It is also convenient of finding and ligating the contralateral processus vaginalis simultaneously.
作者
陈进
段光琦
刘洁
唐睿
随帮志
王啸
徐旭东
朱庆华
晋志远
CHEN Jin;DUAN Guang-qi;LIU Jie;TANG Rui;SUI Bang-zhi;WANG Xiao;XU Xu-dong;ZHU Qing-hua;JIN Zhi-yuan(Department of Pediatric Surgery,the First Affiliated Hospital of Wannan Medical College,Wuhu,Anhui 241000)
出处
《赣南医学院学报》
2021年第11期1114-1118,共5页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
腔镜
切口
鞘膜积液
儿童
Laparoscopes
Incision
Hydrocele
Child
