中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
21期
3263-3265
,共3页
疝,腹股沟%儿童%外科手术
疝,腹股溝%兒童%外科手術
산,복고구%인동%외과수술
Hernia,inguinal%Children%Surgical operation
目的：分析比较小切口手术与传统手术治疗小儿腹股沟疝的临床疗效，为临床小儿腹股沟疝治疗提供理论依据。方法选取68例腹股沟疝患儿作为研究对象，随机数字表法分为对照组和观察组，每组34例，对照组采取传统手术治疗，观察组采取小切口手术治疗，比较两组患儿的临床效果及并发症发生情况。结果观察组的手术时间、术中出血量、住院时间、切口长度分别为（10．45±1．35）min、（5．21±0．78）mL、（1.98±0.76）d、（1．04±0．23）cm，优于对照组的（15．67±3．24）min、（8．56±1．87）mL、（3．78±1．12）d、（2.54±0.65）cm，差异均有统计学意义（t ＝5．7600、5．7477、4．1717、7．9868，均 P ＜0．05）；观察组并发症发生率为2．94％，显著低于对照组的11．76％，差异有统计学意义（χ2＝5．7118，P ＜0．05）。结论采用小切口手术治疗小儿腹股沟疝的临床疗效显著，该方法具有手术创伤小、疼痛轻、术后恢复快、并发症少等优点，值得临床推广应用。
目的：分析比較小切口手術與傳統手術治療小兒腹股溝疝的臨床療效，為臨床小兒腹股溝疝治療提供理論依據。方法選取68例腹股溝疝患兒作為研究對象，隨機數字錶法分為對照組和觀察組，每組34例，對照組採取傳統手術治療，觀察組採取小切口手術治療，比較兩組患兒的臨床效果及併髮癥髮生情況。結果觀察組的手術時間、術中齣血量、住院時間、切口長度分彆為（10．45±1．35）min、（5．21±0．78）mL、（1.98±0.76）d、（1．04±0．23）cm，優于對照組的（15．67±3．24）min、（8．56±1．87）mL、（3．78±1．12）d、（2.54±0.65）cm，差異均有統計學意義（t ＝5．7600、5．7477、4．1717、7．9868，均 P ＜0．05）；觀察組併髮癥髮生率為2．94％，顯著低于對照組的11．76％，差異有統計學意義（χ2＝5．7118，P ＜0．05）。結論採用小切口手術治療小兒腹股溝疝的臨床療效顯著，該方法具有手術創傷小、疼痛輕、術後恢複快、併髮癥少等優點，值得臨床推廣應用。
목적：분석비교소절구수술여전통수술치료소인복고구산적림상료효，위림상소인복고구산치료제공이론의거。방법선취68례복고구산환인작위연구대상，수궤수자표법분위대조조화관찰조，매조34례，대조조채취전통수술치료，관찰조채취소절구수술치료，비교량조환인적림상효과급병발증발생정황。결과관찰조적수술시간、술중출혈량、주원시간、절구장도분별위（10．45±1．35）min、（5．21±0．78）mL、（1.98±0.76）d、（1．04±0．23）cm，우우대조조적（15．67±3．24）min、（8．56±1．87）mL、（3．78±1．12）d、（2.54±0.65）cm，차이균유통계학의의（t ＝5．7600、5．7477、4．1717、7．9868，균 P ＜0．05）；관찰조병발증발생솔위2．94％，현저저우대조조적11．76％，차이유통계학의의（χ2＝5．7118，P ＜0．05）。결론채용소절구수술치료소인복고구산적림상료효현저，해방법구유수술창상소、동통경、술후회복쾌、병발증소등우점，치득림상추엄응용。
Objective To analyze the clinical effect of small incision operation and traditional operation in treatment of pediatric hernia,and to provide a theoretical basis for the clinical treatment of pediatric hernia.Methods 68 children with pediatric hernia were treated as the research subjects,they were randomly divided into control group and observation group,34 children in each group.The control group adopted the traditional operation treatment,while the observation group was taken small incision.The clinical efficacy and complications of both two groups were compared. Results The operation time,bleeding volume,hospitalization time and incision length of the observation group were (10.45 ±1.35)min,(5.21 ±0.78)mL,(1.98 ±0.76)d,and (1.04 ±0.23)cm,which were better than those of the control group [(15.67 ±3.24)min,(8.56 ±1.87)mL,(3.78 ±1.12)d,and (2.54 ±0.65)cm,respectively],the differences were significant (t =5.760 0,5.747 7,4.171 7,7.986 8,all P <0.05).The incidence rate of complica-tions of the observation group was 2.94%,which was significantly lower than that of the control group (11.76%),the difference was significant (χ2 =5.7118,P <0.05).Conclusion The clinical curative effect of using small incision in the treatment of pediatric hernia is significant,this method has the advantages of small operation wound,less pain, faster postoperative recovery,less complications and other advantages,it is worthy of clinical application.
