中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2015年
3期
246-248
,共3页
疝, 腹股沟%儿童%腹腔镜%疝囊高位结扎
疝, 腹股溝%兒童%腹腔鏡%疝囊高位結扎
산, 복고구%인동%복강경%산낭고위결찰
Hernia,inguinal%Child%Laparoscopes%High ligation of hernia sac
目的：分析腹腔镜下疝囊高位结扎术对儿童腹股沟疝的临床治疗效果，探讨其临床价值。方法选取广东省清远市第二人民医院2011年11月至2013年11月收治的224例腹股沟疝患儿，按照随机数字表分为腹腔镜组及传统组，每组患儿112例，分别行腹腔镜下、传统疝囊高位结扎术治疗，比较二组患儿手术情况、并发症及随访复发、切口瘢痕情况。结果腹腔镜组切口长度、术中出血量、手术时间、术后疼痛时间、住院时间低于传统组，其治疗费用高于后者，差异均有统计学意义(P <0.05)；腹腔镜组并发症发生率为6.3%，低于传统组的12.5%，差异有统计学意义( P <0.05)，腹腔镜组阴囊血肿、鞘膜积液发生率均低于传统组，其戳孔处血肿发生率高于传统组，差异有统计学意义(P <0.05)；二组患儿均获得有效随访，平均随访时间(11.4±2.8)个月，腹腔镜组患儿瘢痕率、复发率均低于传统组，差异均有统计学意义(P <0.05)。结论腹腔镜下疝囊高位结扎术具有手术时间短、切口小、术后恢复快、复发率低等多种优势，且能够保持较高的安全性及美观度，较传统术式体现了巨大优势，可作为儿童腹股沟疝的首选术式加以推广。
目的：分析腹腔鏡下疝囊高位結扎術對兒童腹股溝疝的臨床治療效果，探討其臨床價值。方法選取廣東省清遠市第二人民醫院2011年11月至2013年11月收治的224例腹股溝疝患兒，按照隨機數字錶分為腹腔鏡組及傳統組，每組患兒112例，分彆行腹腔鏡下、傳統疝囊高位結扎術治療，比較二組患兒手術情況、併髮癥及隨訪複髮、切口瘢痕情況。結果腹腔鏡組切口長度、術中齣血量、手術時間、術後疼痛時間、住院時間低于傳統組，其治療費用高于後者，差異均有統計學意義(P <0.05)；腹腔鏡組併髮癥髮生率為6.3%，低于傳統組的12.5%，差異有統計學意義( P <0.05)，腹腔鏡組陰囊血腫、鞘膜積液髮生率均低于傳統組，其戳孔處血腫髮生率高于傳統組，差異有統計學意義(P <0.05)；二組患兒均穫得有效隨訪，平均隨訪時間(11.4±2.8)箇月，腹腔鏡組患兒瘢痕率、複髮率均低于傳統組，差異均有統計學意義(P <0.05)。結論腹腔鏡下疝囊高位結扎術具有手術時間短、切口小、術後恢複快、複髮率低等多種優勢，且能夠保持較高的安全性及美觀度，較傳統術式體現瞭巨大優勢，可作為兒童腹股溝疝的首選術式加以推廣。
목적：분석복강경하산낭고위결찰술대인동복고구산적림상치료효과，탐토기림상개치。방법선취광동성청원시제이인민의원2011년11월지2013년11월수치적224례복고구산환인，안조수궤수자표분위복강경조급전통조，매조환인112례，분별행복강경하、전통산낭고위결찰술치료，비교이조환인수술정황、병발증급수방복발、절구반흔정황。결과복강경조절구장도、술중출혈량、수술시간、술후동통시간、주원시간저우전통조，기치료비용고우후자，차이균유통계학의의(P <0.05)；복강경조병발증발생솔위6.3%，저우전통조적12.5%，차이유통계학의의( P <0.05)，복강경조음낭혈종、초막적액발생솔균저우전통조，기착공처혈종발생솔고우전통조，차이유통계학의의(P <0.05)；이조환인균획득유효수방，평균수방시간(11.4±2.8)개월，복강경조환인반흔솔、복발솔균저우전통조，차이균유통계학의의(P <0.05)。결론복강경하산낭고위결찰술구유수술시간단、절구소、술후회복쾌、복발솔저등다충우세，차능구보지교고적안전성급미관도，교전통술식체현료거대우세，가작위인동복고구산적수선술식가이추엄。
Objective To analyze clinical outcome of laparoscopic high ligation of hernia sac in children with inguinal hernia, and to explore its clinical value. Methods 224 cases of inguinal hernia admitted to the Second People′s Hospital of Qingyuan City from November 2011 to November 2013, were selected and randomly divided into laparoscopic group and traditional group, 112 cases in each group, respectively. Operative parameters, complications, recurrence, and length of incisional scar were compared. Results The length of incision, intraoperative bleeding volume, operation time, postoperative pain, and hospitalization time in laparoscopic group were significantly lower than those in traditional group. While the former had higher cost of treatment than the latter ( P < 0. 05); the incidence rate of complications in laparoscopic group was 6. 3% , significantly lower than that of traditional group 12. 5% (P< 0. 05); the incidence of scrotal hematoma and hydrocele of tunica vaginalis were significantly lower in laparoscopic group than that in traditional group; the hematoma in trocar site was significantly higher (P< 0. 05); both groups were followed up for a mean follow-up time of (11. 4 ± 2. 8) months, and the laparoscopic group had significantly lower scar and recurrence rate than those in traditional group ( P < 0. 05). Conclusion Laparoscopic high ligation of hernia sac has various advantages of shorter operation time, incision, faster postoperative recovery and low recurrence rate, can keep a high security and cosmetic result, should be used and promoted as the preferred procedure of inguinal hernia in children.
