中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
32期
43-44
,共2页
腹腔镜%传统术式%疝囊高位结扎%小儿斜疝%疗效
腹腔鏡%傳統術式%疝囊高位結扎%小兒斜疝%療效
복강경%전통술식%산낭고위결찰%소인사산%료효
Laparoscopic%Conventional surgery%Hernia sac high ligation%Pediatric hernia%Curative effect
目的：比较腹腔镜疝囊高位结扎术与传统疝囊高位结扎术对小儿斜疝的治疗效果。方法：回顾性分析本院2011-2012年确诊为腹股沟斜疝的小儿（年龄1~14岁）100例，随机分为观察组和对照组各50例，分别进行腹腔镜结扎术和传统术式。手术时记录两组切口长度、手术时间、术中失血量。术毕分别记录疼痛时间和程度、住院时间、总费用。随访6个月记录复发率、并发症。对两组治疗效果进行综合比较。结果：观察组较对照组术中切口小，手术快，失血少，术毕疼痛恢复快，住院时间短，随访少复发，并发症发生率低，两组比较差异均有统计学意义（P<0.05）。结论：对于小儿斜疝，腹腔镜高位结扎术较传统术式疗效好，预后好，并发症低，是较为理想的术式。
目的：比較腹腔鏡疝囊高位結扎術與傳統疝囊高位結扎術對小兒斜疝的治療效果。方法：迴顧性分析本院2011-2012年確診為腹股溝斜疝的小兒（年齡1~14歲）100例，隨機分為觀察組和對照組各50例，分彆進行腹腔鏡結扎術和傳統術式。手術時記錄兩組切口長度、手術時間、術中失血量。術畢分彆記錄疼痛時間和程度、住院時間、總費用。隨訪6箇月記錄複髮率、併髮癥。對兩組治療效果進行綜閤比較。結果：觀察組較對照組術中切口小，手術快，失血少，術畢疼痛恢複快，住院時間短，隨訪少複髮，併髮癥髮生率低，兩組比較差異均有統計學意義（P<0.05）。結論：對于小兒斜疝，腹腔鏡高位結扎術較傳統術式療效好，預後好，併髮癥低，是較為理想的術式。
목적：비교복강경산낭고위결찰술여전통산낭고위결찰술대소인사산적치료효과。방법：회고성분석본원2011-2012년학진위복고구사산적소인（년령1~14세）100례，수궤분위관찰조화대조조각50례，분별진행복강경결찰술화전통술식。수술시기록량조절구장도、수술시간、술중실혈량。술필분별기록동통시간화정도、주원시간、총비용。수방6개월기록복발솔、병발증。대량조치료효과진행종합비교。결과：관찰조교대조조술중절구소，수술쾌，실혈소，술필동통회복쾌，주원시간단，수방소복발，병발증발생솔저，량조비교차이균유통계학의의（P<0.05）。결론：대우소인사산，복강경고위결찰술교전통술식료효호，예후호，병발증저，시교위이상적술식。
Objective:To compare the curative effect of pediatric laparoscopic in high ligation of hernia sac and pediatric traditional high ligation of hernia sac. Method:One hundred cases of inguinal hernia children(1~14 years old)were selected and given a retrospective analysis in the hospital from 2011 to 2012. They were randomly divided into the observation group and the control group,each group of 50 cases. The observation group were treated with laparoscopic in high ligation of hernia sac,the control group were treated with conventional surgery. The record of the incision length, operative time and the blood loss were achieved during the operation. The record of the time and degree of the pain,hospitalization time and the total cost were gained after the operation. The record of the recurrence rate and complications were gained followed up for 6 months. The treatment effects of the two groups were compared. Result:The observation group had smaller incision length,faster operation and less blood loss during the operation. It had quicker recovery of the pain,shorter hospitalization time after the operation. It had less recurrence and lower complication rates. Above all had statistically significant differences between the two groups(P<0.05). Conclusion:For pediatric hernia,laparoscopic high ligation has better curative effect and prognosis,lower complications than the conventional surgery. Laparoscopic high ligation is an ideal operation.
