CAJ | 학술논문

探讨下腹横纹微小切口经外环口治疗小儿腹股沟疝的疗效。方法选取2009年8月～2013年8月普宁市人民医院收治的小儿腹股沟疝患儿1200例，随机分为2组。对照组采取传统手术治疗（n=550），试验组采取下腹横纹微小切口经外环口治疗（n=650），比较2组患儿手术方面的差异，并评价患儿复发及并发症情况。结果试验组切口长度、手术耗时及出血均低于对照组，差异有统计学差异(P＜0.05)；试验组腹股沟疝复发率为0.6%低于对照组7.8%，差异有统计学差异(P＜0.05)；试验组手术后并发症发生率为6.5%低于对照组20.7%，差异有统计学差异(P＜0.05)。结论下腹横纹微小切口经外环口治疗小儿腹股沟疝疗效显著，切口长度较小，具有良好的美容效果，同时患者手术耗时及出血较少，术后复发率及并发症发生率也较低，能减少患者痛苦，改善术后康复。
탐토하복횡문미소절구경외배구치료소인복고구산적료효。방법선취2009년8월～2013년8월보저시인민의원수치적소인복고구산환인1200례，수궤분위2조。대조조채취전통수술치료（n=550），시험조채취하복횡문미소절구경외배구치료（n=650），비교2조환인수술방면적차이，병평개환인복발급병발증정황。결과시험조절구장도、수술모시급출혈균저우대조조，차이유통계학차이(P＜0.05)；시험조복고구산복발솔위0.6%저우대조조7.8%，차이유통계학차이(P＜0.05)；시험조수술후병발증발생솔위6.5%저우대조조20.7%，차이유통계학차이(P＜0.05)。결론하복횡문미소절구경외배구치료소인복고구산료효현저，절구장도교소，구유량호적미용효과，동시환자수술모시급출혈교소，술후복발솔급병발증발생솔야교저，능감소환자통고，개선술후강복。
Objective To explore the therapeutic effect of lower abdominal transverse small incision through the outer ring treatment for indirect inguinal hernia in children.Methods 1200 cases of inguinal hernia in children were selected from August 2009 to August 2013 in the hospital, and randomly divided into two groups. 550 cases in the control group took traditional operationtherapy, 650 cases of test group took lower abdominal transverse micro incision through the outer ring treatment. The differences of operation were compared between two groups, and evaluated the situation of recurrence and complications.Results Incision length, operation time and hemorrhage in the trial group were lower than the control group, there was statistically significant difference (P<0.05); Experimental group of inguinal hernia recurrence rate was 0.6% lower than 7.8% of the control group, there was significant difference (P<0.05); The incidence rate of complications after operation in experimental group was 6.5% lower than 20.7% in control group, there was statistically significant difference (P<0.05).Conclusion Curative effect of abdominal transverse micro incision through the outer ring intreatment of inguinal hernia in children is obvious, the length of incision is small, and has good cosmetic results, meanwhile operation time and bleeding are little in patients, postoperative recurrence rate and complication rate are low, can reduce the suffering of patients, and improve postoperative rehabilitation.