国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
9期
591-594
,共4页
儿童%疝,腹股沟%腹腔镜
兒童%疝,腹股溝%腹腔鏡
인동%산,복고구%복강경
Child%Hernia,inguinal%Laparoscopes
目的 探讨腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的优势.方法 将2012年8月-2014年5月收治的244例小儿腹股沟斜疝患者按照手术方式分为两组:传统手术组与腹腔镜手术组,各122例,观察比较两组手术时间、平均术中出血量、术后疼痛、手术瘢痕、并发症和复发等情况.结果 腹腔镜手术组发现对侧隐性疝52例(46.4％),与传统手术组在手术时间[单侧:(16.1±5.3)min vs (14.3±4.4) min]、[双侧:(29.2±6.4)min vs (31.4±5.2)min],平均术中出血量[(2.2±1.1)mL vs (2.9±1.4) mL],切口瘢痕、复发方面,差异无统计学意义,均未发生阴囊血肿和医源性隐睾;术后疼痛、下床活动间、阴囊水肿方面,差异均有统计学意义(P＜0.05).结论 腹腔镜手术创伤小,术后恢复快,并发症少且允许探查对侧鞘状突,与传统手术相比更为安全可靠.
目的 探討腹腔鏡疝囊高位結扎術治療小兒腹股溝斜疝的優勢.方法 將2012年8月-2014年5月收治的244例小兒腹股溝斜疝患者按照手術方式分為兩組:傳統手術組與腹腔鏡手術組,各122例,觀察比較兩組手術時間、平均術中齣血量、術後疼痛、手術瘢痕、併髮癥和複髮等情況.結果 腹腔鏡手術組髮現對側隱性疝52例(46.4％),與傳統手術組在手術時間[單側:(16.1±5.3)min vs (14.3±4.4) min]、[雙側:(29.2±6.4)min vs (31.4±5.2)min],平均術中齣血量[(2.2±1.1)mL vs (2.9±1.4) mL],切口瘢痕、複髮方麵,差異無統計學意義,均未髮生陰囊血腫和醫源性隱睪;術後疼痛、下床活動間、陰囊水腫方麵,差異均有統計學意義(P＜0.05).結論 腹腔鏡手術創傷小,術後恢複快,併髮癥少且允許探查對側鞘狀突,與傳統手術相比更為安全可靠.
목적 탐토복강경산낭고위결찰술치료소인복고구사산적우세.방법 장2012년8월-2014년5월수치적244례소인복고구사산환자안조수술방식분위량조:전통수술조여복강경수술조,각122례,관찰비교량조수술시간、평균술중출혈량、술후동통、수술반흔、병발증화복발등정황.결과 복강경수술조발현대측은성산52례(46.4％),여전통수술조재수술시간[단측:(16.1±5.3)min vs (14.3±4.4) min]、[쌍측:(29.2±6.4)min vs (31.4±5.2)min],평균술중출혈량[(2.2±1.1)mL vs (2.9±1.4) mL],절구반흔、복발방면,차이무통계학의의,균미발생음낭혈종화의원성은고;술후동통、하상활동간、음낭수종방면,차이균유통계학의의(P＜0.05).결론 복강경수술창상소,술후회복쾌,병발증소차윤허탐사대측초상돌,여전통수술상비경위안전가고.
Objective To investigate the advantages of treating pediatric indirect inguinal hernia by laparoscopic high ligation of hernia.Methods Two hundred and forty-four pediatric indirect inguinal hernia cases were admitted from August 2012 to May 2014,and were divided into conventional surgery group and laparoscopic surgery group according to the operation methods,with 122 cases in each group.The differences between the two groups regarding operation time,bleeding volume,postoperative pain,surgical scars,complications and recurrence were compared.Results Contralateral recessive hernia was observed in 52 cases (46.4％) of laparoscopic surgery group.The differences in operation time [unilateral hernia:(16.1 ± 5.3) min vs (14.3 ±4.4) min],[bilateral hernia:(29.2 ± 6.4) min vs (31.4 ± 5.2) min],bleeding volume [(2.2 ± 1.1) mL vs (2.9 ± 1.4) mL],surgical scars and recurrence between the two groups were not statistically significant,and no scrotal hematoma and latrogenic cryptorchidism were observed in both groups.But the differences regarding post-operative pain,time to ambulation,scrotal swelling were statistically significant (P ＜ 0.05).Conclusions Laparoscopic surgery showed advantages in small operation wound,rapid recover,less complications and possibility of exploration of contralateral processus vaginalis,so it is much more secure and reliable.
