CAJ | 학술논문

目的：观察腔镜疝囊高位结扎术治疗小儿斜疝的临床效果。方法选取2011年2月~2013年12月本院收治的小儿斜疝患者75例，随机分为两组，其中观察组38例，选用腔镜疝囊高位结扎术治疗，对照组37例，选用传统方法治疗，观察并比较两组患者的手术时间、切口大小、复发情况和术后并发症情况。结果观察组平均手术时间为(31.9±11.7)min，对照组平均手术时间为(49.1±16.3) min，差异有统计学意义(P<0.05)；观察组平均切口长度为(6.0±2.4)mm，对照组平均切口长度为(43.1±12.5)mm，差异有统计学意义(P<0.05)；观察组术后复发率为2.6%，术后并发症发生率为2.6%，对照组术后复发率为13.5%，术后并发症发生率为16.2%，两组术后复发率和并发症发生率比较，差异有统计学意义(P<0.05)。结论腔镜疝囊高位结扎术治疗小儿斜疝的临床效果好，术后并发症少，手术切口小，手术时间短，值得在临床上予以推广。
목적：관찰강경산낭고위결찰술치료소인사산적림상효과。방법선취2011년2월~2013년12월본원수치적소인사산환자75례，수궤분위량조，기중관찰조38례，선용강경산낭고위결찰술치료，대조조37례，선용전통방법치료，관찰병비교량조환자적수술시간、절구대소、복발정황화술후병발증정황。결과관찰조평균수술시간위(31.9±11.7)min，대조조평균수술시간위(49.1±16.3) min，차이유통계학의의(P<0.05)；관찰조평균절구장도위(6.0±2.4)mm，대조조평균절구장도위(43.1±12.5)mm，차이유통계학의의(P<0.05)；관찰조술후복발솔위2.6%，술후병발증발생솔위2.6%，대조조술후복발솔위13.5%，술후병발증발생솔위16.2%，량조술후복발솔화병발증발생솔비교，차이유통계학의의(P<0.05)。결론강경산낭고위결찰술치료소인사산적림상효과호，술후병발증소，수술절구소，수술시간단，치득재림상상여이추엄。
Objective To observe the clinical efficacy of laparoscopic hernia sac ligation in treatment of pediatric in-guinal hernia. Methods 75 patients with pediatric inguinal hernia in our hospital from February 2011 to December 2013 were selected and randomly divided into two groups.38 cases in the observation group were treated with laparo-scopic hernia sac ligation.37 cases in the control group were treated with traditional method.The operative time,incision size,recurrence and postoperative complications in patients of two groups were observed and compared. Results The op-erative time of observation group was (31.9±11.7) min,of the control group was (49.1±16.3) min,the difference between the two groups was significant (P<0.05);the incision of the observation group was (6.0±2.4) mm,of the control group was (43.1±12.5) mm,the difference between the two groups was significant (P<0.05);The postoperative recurrence rate of ob-servation group was 2.6%,and postoperative complication rate was 2.6% in the observation group;the control group was 13.5% and 16.2% respectively;The recurrence rate and incidence of postoperative complications of the two groups had significant differences (P<0.05). Conclusion The clinical efficacy of laparoscopic hernia sac ligation in the treatment of pediatric inguinal hernia is better.It has less postoperative complications,smaller surgical incisions,shorter operative time,is worth to be promoted in clinical practice.