中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
6期
896-898
,共3页
腹股沟疝%疝囊高位结扎术%腹腔镜
腹股溝疝%疝囊高位結扎術%腹腔鏡
복고구산%산낭고위결찰술%복강경
Inguinal hernia%Hernia sac high ligation%Laparoscopy
目的 探讨小儿腹股沟疝腹腔镜疝囊高位结扎手术治疗中,不同手术方式对手术并发症的防治体会.方法 收集2003年8月至2012年8月株洲市三三一医院腹腔镜下小儿腹股沟疝疝囊高位结扎手术患儿1 263例病历资料,并进行回顾性分析.根据采用微创手术方法的不同分为研究组(631例)和对照组(632例).对照组采用常规方法,研究组在对照组的基础上通过注射器注水实验,紧贴腹壁下动脉外侧切开腹股沟管,缝合时先环绕输精管一侧腹膜,再环绕精索一侧腹膜,排除阴囊内积气,腹腔镜口可吸收线内翻缝合等方法预防并发症.比较2组患儿复发率和并发症的发生率.结果 研究组和对照组复发率分别为0.3％(2/631)和0.8％(5/632),2组复发率比较差异有统计学意义(P＜0.01).研究组发生血肿2例,并发症发生率为0.3％ (2/631);对照组线结反应2例、血肿4例、切口疝2例,并发症发生率为1.3％(8/632).2组并发症发生率差异有统计学意义(P＜0.01).结论 规范的操作能够最大限度减少腹腔镜下小儿腹股沟斜疝囊高位结扎手术并发症.
目的 探討小兒腹股溝疝腹腔鏡疝囊高位結扎手術治療中,不同手術方式對手術併髮癥的防治體會.方法 收集2003年8月至2012年8月株洲市三三一醫院腹腔鏡下小兒腹股溝疝疝囊高位結扎手術患兒1 263例病歷資料,併進行迴顧性分析.根據採用微創手術方法的不同分為研究組(631例)和對照組(632例).對照組採用常規方法,研究組在對照組的基礎上通過註射器註水實驗,緊貼腹壁下動脈外側切開腹股溝管,縫閤時先環繞輸精管一側腹膜,再環繞精索一側腹膜,排除陰囊內積氣,腹腔鏡口可吸收線內翻縫閤等方法預防併髮癥.比較2組患兒複髮率和併髮癥的髮生率.結果 研究組和對照組複髮率分彆為0.3％(2/631)和0.8％(5/632),2組複髮率比較差異有統計學意義(P＜0.01).研究組髮生血腫2例,併髮癥髮生率為0.3％ (2/631);對照組線結反應2例、血腫4例、切口疝2例,併髮癥髮生率為1.3％(8/632).2組併髮癥髮生率差異有統計學意義(P＜0.01).結論 規範的操作能夠最大限度減少腹腔鏡下小兒腹股溝斜疝囊高位結扎手術併髮癥.
목적 탐토소인복고구산복강경산낭고위결찰수술치료중,불동수술방식대수술병발증적방치체회.방법 수집2003년8월지2012년8월주주시삼삼일의원복강경하소인복고구산산낭고위결찰수술환인1 263례병력자료,병진행회고성분석.근거채용미창수술방법적불동분위연구조(631례)화대조조(632례).대조조채용상규방법,연구조재대조조적기출상통과주사기주수실험,긴첩복벽하동맥외측절개복고구관,봉합시선배요수정관일측복막,재배요정색일측복막,배제음낭내적기,복강경구가흡수선내번봉합등방법예방병발증.비교2조환인복발솔화병발증적발생솔.결과 연구조화대조조복발솔분별위0.3％(2/631)화0.8％(5/632),2조복발솔비교차이유통계학의의(P＜0.01).연구조발생혈종2례,병발증발생솔위0.3％ (2/631);대조조선결반응2례、혈종4례、절구산2례,병발증발생솔위1.3％(8/632).2조병발증발생솔차이유통계학의의(P＜0.01).결론 규범적조작능구최대한도감소복강경하소인복고구사산낭고위결찰수술병발증.
Objective To study the complications of laparoscopic operation treating inguinal hernia in children.Methods Pediatric inguinal hernia operation treating 1 263 cases of high ligation of hernial sac were retrospectively analyzed.According to the different operation methods,the patients were divided into the study group (631 cases) and control group (632 cases).The patients in control group received conventional methods.The patients in study group received syringe injection experiments on the basis of the conventional method.Inguinal canal was incised along lateral of inferior epigastric artery.The gas in scrotum inner was ruled out and swiched with absorption line suture method.Recurrence rate and incidence of complications in 2 groups were compared.Results The recurrence rate of the study group and the control group was 0.3％ (2/631)and 0.8％ (5/632) respectively.The difference was statistically significant(P ＜0.01).The 2 cases of hematoma were in study group.There were 2 cases of node reaction,4 cases of hematoma and 2 cases of incisional hernia in control group.The complication rate of 2 groups was 0.3％ (2/631)and 1.3％ (8/632).The difference was statistically significant (P ＜0.01).Conclusion he standardized method of the peritoneoscope hernia sac high position ligation can reduce the operation complications in children with indirect inguinal hernia.
