摘要
目的:探讨小儿腹股沟斜疝采用经脐单孔腹腔镜与传统开放式疝囊高位结扎术治疗的安全性与效果。方法:选取2018年6月—2022年6月浙江省人民医院毕节医院收治的1200例腹股沟斜疝患儿作为研究对象。根据随机数表法将其分为对照组和观察组,各600例。对照组实施传统开放式疝囊高位结扎术,观察组实施经脐单孔腹腔镜疝囊高位结扎术。比较两组围手术期指标、术前和术后12 h、24 h、36 h、48 h疼痛程度,并发症、复发情况。结果:观察组手术时间、切口长度、住院时间均短于对照组,术中出血量少于对照组,胃肠道恢复时间、下床活动时间、肛门排气时间均明显早于对照组,差异有统计学意义(P<0.05)。观察组术后12 h、24 h、36 h、48 h视觉模拟评分法(VAS)评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率及复发率均明显低于对照组,差异有统计学意义(P<0.05)。结论:采取经脐单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝,手术效果更理想,有效减轻术后疼痛,减少术后并发症,复发率低,疗效确切,安全性更高。
Objective:To explore the safety and efficacy of single-port laparoscopic via navel and traditional open high ligation of hernia sac in children with inguinal hernia.Method:A total of 1200 children with inguinal hernia treated in Zhejiang Provincial People's Hospital Bijie Hospital from June 2018 to June 2022 were selected as the study objects.They were divided into control group and observation group according to random number table method,600 cases in each group.Traditional open high ligation of hernia sac was performed in control group,while single-port laparoscopic via navel high ligation of hernia sac was performed in observation group.The perioperative indexes,the degree of pain before and 12 h,24 h,36 h and 48 h after surgery,complications and recurrence were compared between the two groups.Result:The operation time,incision length and hospital stay in the observation group were shorter than those in the control group,the intraoperative blood loss volume was less than that in the control group,and the gastrointestinal recovery time,getting out of bed time and anal exhaust time were significantly earlier than those in the control group,the differences were statistically significant(P<0.05).Visual analogue scale(VAS)scores of the observation group at 12 h,24 h,36 h and 48 h after surgery were significantly lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications and recurrence rate in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Adopting single-port laparoscopic via navel high ligation of hernia sac for the treatment of pediatric inguinal hernia has a more ideal surgical effect,effectively reduces postoperative pain,minimizes postoperative complications,with lower recurrence rate,definite therapeutic effect,and higher safety.
作者
王晴
陈见松
徐冬
陈翔
张磊
张亮
曾倩
施颖
WANG Qing;CHEN Jiansong;XU Dong;CHEN Xiang;ZHANG Lei;ZHANG Liang;ZENG Qian;SHIYing(Zhejiang Provincial People's Hospital Bijie Hospital,Bijie 551700,China;不详)
出处
《中外医学研究》
2024年第28期145-148,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
毕节市科学技术计划项目(毕科联合字SY[2019]6号)。
关键词
小儿腹股沟斜疝
经脐单孔腹腔镜
开放式疝囊高位结扎术
治疗
安全性
Pediatric inguinal hernia
Single-port laparoscopic via navel
Open high ligation of hernia sac
Treatment Safety
