河北医学
河北醫學
하북의학
HEBEI MEDICINE
2014年
3期
476-478
,共3页
传统手术%小切口微创手术%疝气%小儿%疗效%安全性
傳統手術%小切口微創手術%疝氣%小兒%療效%安全性
전통수술%소절구미창수술%산기%소인%료효%안전성
Traditional operation%Minimally invasive operation%Hernia%Children%Effica-cy%Safety
目的：比较传统手术、小切口微创手术治疗小儿疝气的临床疗效及安全性。方法：选取我院2009年4月至2012年10月收治的90例疝气患儿作为研究对象，按照随机数字表法随机分为治疗组与对照组各45例，分别给予小切口微创手术和传统手术治疗，比较两组患儿手术疗效及各项指标。结果：治疗组术中出血量、手术时间、自主活动时间及住院时间均显著少于对照组（ P＜0．01），具有统计学意义。治疗组患儿术后并发症共计5例，并发症发生率为11．1％；对照组患儿术后并发症共计14例，并发症发生率为31．1％。治疗组患儿术后并发症发生率显著低于对照组（ X2＝15．248，P＜0．01），具有统计学意义。结论：小切口微创手术治疗小儿疝气具有创伤小、恢复快、术后并发症少等优点，值得推广应用。
目的：比較傳統手術、小切口微創手術治療小兒疝氣的臨床療效及安全性。方法：選取我院2009年4月至2012年10月收治的90例疝氣患兒作為研究對象，按照隨機數字錶法隨機分為治療組與對照組各45例，分彆給予小切口微創手術和傳統手術治療，比較兩組患兒手術療效及各項指標。結果：治療組術中齣血量、手術時間、自主活動時間及住院時間均顯著少于對照組（ P＜0．01），具有統計學意義。治療組患兒術後併髮癥共計5例，併髮癥髮生率為11．1％；對照組患兒術後併髮癥共計14例，併髮癥髮生率為31．1％。治療組患兒術後併髮癥髮生率顯著低于對照組（ X2＝15．248，P＜0．01），具有統計學意義。結論：小切口微創手術治療小兒疝氣具有創傷小、恢複快、術後併髮癥少等優點，值得推廣應用。
목적：비교전통수술、소절구미창수술치료소인산기적림상료효급안전성。방법：선취아원2009년4월지2012년10월수치적90례산기환인작위연구대상，안조수궤수자표법수궤분위치료조여대조조각45례，분별급여소절구미창수술화전통수술치료，비교량조환인수술료효급각항지표。결과：치료조술중출혈량、수술시간、자주활동시간급주원시간균현저소우대조조（ P＜0．01），구유통계학의의。치료조환인술후병발증공계5례，병발증발생솔위11．1％；대조조환인술후병발증공계14례，병발증발생솔위31．1％。치료조환인술후병발증발생솔현저저우대조조（ X2＝15．248，P＜0．01），구유통계학의의。결론：소절구미창수술치료소인산기구유창상소、회복쾌、술후병발증소등우점，치득추엄응용。
Objective:To compare the clinical effects and safety of traditional surgery and small incision minimally invasive operation in treatment of children hernia .Method:90 children with hernia in our hospital from Arp.2009 to Oct.2012 were selected as the research object ,by the way of random number table , they were divided into treatment group and control group , with 45 cases in each group respectively , they were treated with minimally invasive operation and traditional operation , curative effect and the operation indexe were compared between the two groups .Result:Amount of bleeding during the operation , operation time , independent activity time and hospital stay in treatment group were significantly less than those in the control group ( P<0.01 ) , There's statistical significance .Among treatment group , the postoperative complications were 5 cases, the complication rate was 11.1%;among the control group , the children with postoperative complications were 14 cases, the complication rate was 31.1%.The treatment group in the incidence of post-operative complications was significantly lower than the control group (X2=15.248, P<0.01), with statisti-cal significance .Conclusion:The small incision minimally invasive operation in treatment of infantile hernia has the advantages of small trauma , quick recovery , fewer complications , It is worthy of popularization and application .
