CAJ | 학술논문

目的：比较两种微创手术治疗小儿腹股沟斜疝的临床疗效。方法选择2014年1月至2015年1月我院收治的腹股沟斜疝患儿60例，随机分为A组和B组，各30例。A组采用下腹横纹小切口疝囊高位结扎术，B组采用腹腔镜疝囊高位结扎术，比较两组手术时间、住院时间、住院费用、并发症、复发率等。结果 A组手术时间、住院时间、并发症发生率、复发率与B组比较差异无显著性，无统计学意义（P >0.05），但A组住院费用明显低于B组，两组比较差异具有统计学意义（P <0.05）。结论下腹横纹小切口疝囊高位结扎术应用于治疗小儿腹股沟斜疝，可有效减少住院费用，且安全性高，值得临床推广应用。
목적：비교량충미창수술치료소인복고구사산적림상료효。방법선택2014년1월지2015년1월아원수치적복고구사산환인60례，수궤분위A조화B조，각30례。A조채용하복횡문소절구산낭고위결찰술，B조채용복강경산낭고위결찰술，비교량조수술시간、주원시간、주원비용、병발증、복발솔등。결과 A조수술시간、주원시간、병발증발생솔、복발솔여B조비교차이무현저성，무통계학의의（P >0.05），단A조주원비용명현저우B조，량조비교차이구유통계학의의（P <0.05）。결론하복횡문소절구산낭고위결찰술응용우치료소인복고구사산，가유효감소주원비용，차안전성고，치득림상추엄응용。
Objective To compare two minimaly invasive surgical treatment of pediatric inguinal hernia clinical efficacy.Methods 60 cases of inguinal hernia in children from January 2014 to January 2015 in our hospital were randomly divided into group A and group B, 30 cases each. A group with a smal abdominal incision stripes sac ligation, group B laparoscopic hernia sac ligation were compared operative time, hospital stay, hospital costs, complications, and recurrence rate.ResultsA group of operative time, hospital stay, morbidity, recurrence rate compared with group B no significant difference not statisticaly significant (P > 0.05), but significantly lower than the cost of hospitalization in group A group B, two groups the difference was statisticaly significant (P < 0.05).ConclusionAbdominal stripes and a smal incision hernia sac ligation used to treat children with inguinal hernia, which can effectively reduce the cost of hospitalization, and safe, worthy of clinical application.