CAJ | 학술논문

目的：探讨腹腔镜辅助高位结扎术治疗儿童腹股沟疝与腹横纹下小切口治疗儿童腹股沟疝的应用比较。方法回顾性分析2009年1月至2011年12月，成都市温江区人民医院收治的儿童腹股沟疝213例，将其随机分为腹腔镜治疗组（A组）和腹横纹下小切口治疗组（B组）。比较二组手术时间、术中出血量、术后康复相关指标及术后1、2d 的疼痛评估。结果二组患儿在手术时间、术中出血量及离床活动时间、住院时间、住院费用、并发症比较差异均无统计学意义（t＝0．211、-0．589、-0．488、-0．013、403．619，χ2＝0．002，P＝0．556、0．833、0．626、0．990、0．001、0．967）。术后1、2 d 的疼痛评分差异无统计学意义（χ2＝0．045、0．024，P＝0．978、0．988）。A组发现对侧隐匿疝10例（9．2％），B组未发现，二组比较，差异均有统计学意义（χ2＝11．26，P＝0．016）。随访2年，二组均无复发。结论腹腔镜治疗儿童疝和腹横纹下小切口治疗儿童疝都属于微创技术，操作简单，学习曲线短，易掌握，各有优缺点，应因地制宜推广该技术。
목적：탐토복강경보조고위결찰술치료인동복고구산여복횡문하소절구치료인동복고구산적응용비교。방법회고성분석2009년1월지2011년12월，성도시온강구인민의원수치적인동복고구산213례，장기수궤분위복강경치료조（A조）화복횡문하소절구치료조（B조）。비교이조수술시간、술중출혈량、술후강복상관지표급술후1、2d 적동통평고。결과이조환인재수술시간、술중출혈량급리상활동시간、주원시간、주원비용、병발증비교차이균무통계학의의（t＝0．211、-0．589、-0．488、-0．013、403．619，χ2＝0．002，P＝0．556、0．833、0．626、0．990、0．001、0．967）。술후1、2 d 적동통평분차이무통계학의의（χ2＝0．045、0．024，P＝0．978、0．988）。A조발현대측은닉산10례（9．2％），B조미발현，이조비교，차이균유통계학의의（χ2＝11．26，P＝0．016）。수방2년，이조균무복발。결론복강경치료인동산화복횡문하소절구치료인동산도속우미창기술，조작간단，학습곡선단，역장악，각유우결점，응인지제의추엄해기술。
Objective To compare the clinical effect of laparoscopic high ligation of hernia sac versus abdominal transverse striation small-incision for children with groin hernia.Methods From January 2009 to December 201 1 ,21 3 children with inguinal hernia admitted in Wenjiang People′s Hospital of Chengdu were analyzed retrospectively,and each patient was randomly assigned to one of two groups:laparoscopy group(Group A)and abdominal transverse striation small-incision treatment group (Group B). Both patient-groups were compared with the operation time,intraoperative blood loss,the indicators relevant to postoperative rehabilitation,and pain assessment during first 2days.Results There was no statistically significant difference between two groups in operation time,blood loss,the time to get out of bed,length of hospital stay,hospital cost,complications(t=0.21 1 ,-0.589,-0.488,-0.01 3,403.61 9,χ2 =0.002, P=0.556,0.833,0.626,0.990,0.001 ,0.967).No significant difference in the first 2 days pain scores after surgery(χ2 =0.045,0.024,P=0.978,0.988).1 0 cases of occult hernia were found in contralateral side in Group A and none in Group B,the difference was significant(χ2 =1 1 .26,P=0.01 6).After 2 years of follow-up,no recurrence was found in both groups.Conclusion Both of two procedures are minimally invasive technique,and there is no superiority of one procedure over the other,they can be recommended equally.