CAJ | 학술논문

目的：探讨小儿疝气采用传统手术治疗与微型腹腔镜手术治疗的临床疗效差异。方法：按照家长意愿将我院2009年9月至2013年1月收治的97例疝气患儿分为微创组（52例）和对照组（45例）。微创组采用微型腹腔镜治疗，传统组采用传统手术组治疗，比较两组患儿的治疗效果及术后并发症等指标的差异。结果：微创组的手术时间17．6±3．4（min）、术中出血量2．2±1．8（mL）、开始自主活动时间13．8±1．9（h）、手术切口长度1．7±0．5（cm）、术后排气时间6．8±1．2（h）、住院时间3．2±1．4（d）均显著地低于传统组。微创组共发生阴囊肿胀2例、腹胀1例，共发生3例（5．77％），传统组术后并发症率31.11％，微创组术后并发症率显著低于传统组。结论：微型腹腔镜手术治疗小儿疝气较传统手术治疗的创伤小，手术时间短，术后恢复快，术后并发症率低等优点。
목적：탐토소인산기채용전통수술치료여미형복강경수술치료적림상료효차이。방법：안조가장의원장아원2009년9월지2013년1월수치적97례산기환인분위미창조（52례）화대조조（45례）。미창조채용미형복강경치료，전통조채용전통수술조치료，비교량조환인적치료효과급술후병발증등지표적차이。결과：미창조적수술시간17．6±3．4（min）、술중출혈량2．2±1．8（mL）、개시자주활동시간13．8±1．9（h）、수술절구장도1．7±0．5（cm）、술후배기시간6．8±1．2（h）、주원시간3．2±1．4（d）균현저지저우전통조。미창조공발생음낭종창2례、복창1례，공발생3례（5．77％），전통조술후병발증솔31.11％，미창조술후병발증솔현저저우전통조。결론：미형복강경수술치료소인산기교전통수술치료적창상소，수술시간단，술후회복쾌，술후병발증솔저등우점。
Objective To observe the clinical efficacy of pediatric hernia by traditional operation therapy and micro laparoscopicoperation treatment .Methods In accordance with the wishes of parents of children with 97 cases of hernia in our hospital from 2009 Septemberto 2013 January were divided into minimally invasive group ( 52 ca-ses) and control group (45 cases).Minimally invasive group used laparoscopic treatment , traditionalgroup used the traditional surgical treatment groupdifferences in complications , treatment effect andoperation of two groups were compared after .Results Operation time of minimally invasive group of 17 .6 +3 .4 ( min ) , the blood loss was 2.2 +1.8 (ML), began toindependent activity time of 13.8 +1.9 (H), operationincision length was 1.7 +0.5 (CM), postoperative exhausttime of 6.8 +1.2 (H), the time of hospitalization were 3.2+1.4 (d) signifi-cantly lower than that of the traditional group .Minimally invasive group there were 2 cases of scrotal swelling , 1 ca-ses of abdominal distension , a total of 3 cases (5.77%), the rate ofpostoperative complications of 31.11%tradi-tional group , postoperative complications in minimally invasive groupwas significantly lower than the traditional group.Conclusion Micro laparoscopic surgery in the treatment of infantile hernia than traditional surgical treat-ment with little trauma ,short operation time , rapid postoperative recovery , lowrate of postoperative complications .