中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2014年
4期
361-362
,共2页
依马木·阿比汗%买买吐尔孙·吐尔迪%吴源泉%克力木
依馬木·阿比汗%買買吐爾孫·吐爾迪%吳源泉%剋力木
의마목·아비한%매매토이손·토이적%오원천%극력목
疝,腹股沟%疝修补术%腹腔镜%儿童%对比研究
疝,腹股溝%疝脩補術%腹腔鏡%兒童%對比研究
산,복고구%산수보술%복강경%인동%대비연구
Hernia,inguinal%Herniorrhaphy%Laparoscopes%Child%Comparative study
目的：比较腹腔镜疝囊高位结扎术与开放性儿童疝囊高位结扎术的优缺点，评价腹腔镜治疗儿童腹股沟疝的临床价值。方法回顾性分析2011年1月至2012年12月，喀什地区第一人民医院收治的腹股沟疝患儿140例，随机分为二组，观察组行腹腔镜下行儿童疝囊高位结扎术，对照组行开放性疝囊高位结扎术。对二组患儿的手术时间、术中出血量、住院时间、切口感染、术后复发等进行比较。结果腹腔镜组在手术时间、术中出血量、住院时间方面优于开放手术组，差异有统计学意义（t＝18．404、15．759、14．216，P＝0．0013、0．0004、0．0087）。二组患儿在术后并发症比较，差异无统计学意义（χ2＝0．497，P＝0．481）。结论腹腔镜下儿童疝囊高位结扎术具有操作简捷、对精索损伤小、术后恢复快、并发症少等优点，是治疗儿童疝的微创术式。
目的：比較腹腔鏡疝囊高位結扎術與開放性兒童疝囊高位結扎術的優缺點，評價腹腔鏡治療兒童腹股溝疝的臨床價值。方法迴顧性分析2011年1月至2012年12月，喀什地區第一人民醫院收治的腹股溝疝患兒140例，隨機分為二組，觀察組行腹腔鏡下行兒童疝囊高位結扎術，對照組行開放性疝囊高位結扎術。對二組患兒的手術時間、術中齣血量、住院時間、切口感染、術後複髮等進行比較。結果腹腔鏡組在手術時間、術中齣血量、住院時間方麵優于開放手術組，差異有統計學意義（t＝18．404、15．759、14．216，P＝0．0013、0．0004、0．0087）。二組患兒在術後併髮癥比較，差異無統計學意義（χ2＝0．497，P＝0．481）。結論腹腔鏡下兒童疝囊高位結扎術具有操作簡捷、對精索損傷小、術後恢複快、併髮癥少等優點，是治療兒童疝的微創術式。
목적：비교복강경산낭고위결찰술여개방성인동산낭고위결찰술적우결점，평개복강경치료인동복고구산적림상개치。방법회고성분석2011년1월지2012년12월，객십지구제일인민의원수치적복고구산환인140례，수궤분위이조，관찰조행복강경하행인동산낭고위결찰술，대조조행개방성산낭고위결찰술。대이조환인적수술시간、술중출혈량、주원시간、절구감염、술후복발등진행비교。결과복강경조재수술시간、술중출혈량、주원시간방면우우개방수술조，차이유통계학의의（t＝18．404、15．759、14．216，P＝0．0013、0．0004、0．0087）。이조환인재술후병발증비교，차이무통계학의의（χ2＝0．497，P＝0．481）。결론복강경하인동산낭고위결찰술구유조작간첩、대정색손상소、술후회복쾌、병발증소등우점，시치료인동산적미창술식。
Objective To compare the effect of laparoscopic and open high ligation of hernia sac, and to evaluate the value of laparoscopic procedure for children inguinal hernia.Methods From January 201 1 to December 201 2,a total of 1 40 cases of children inguinal hernia admitted to KaShi First People′s Hospital were retrospectively analyzed.Patients were randomly assigned to the two groups as observation group and control group in which laparoscopic and open repair were performed respectively.The operation time,blood loss,length of stay,wound infection,hernia recurrence were compared between two groups. Results Laparoscopic group presented superior results in term of the operation time,blood loss and length of stay,and the differences were statistically significant (t =1 8.404,1 5.759,1 4.21 6,P =0.001 3, 0.000 4,0.008 7).While there were no significant differences in complication between two groups (χ2 =0.497,P=0.481 ).Conclusions Laparoscopic high ligation of hernia sacis a minimally invasive procedure to children hernia,which has been proved to have the advantages of easy performance,less injury to spermatic cord,rapid recovery and less complications.
