单孔腹腔镜下应用小儿活动拉钩与下腹壁小切口治疗小儿腹股沟斜疝疗效及并发症比较

doi:10.3969/j.issn.1006-6233.2019.11.022

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摘要目的:探讨单孔腹腔镜下应用小儿活动拉钩与下腹壁小切口治疗小儿腹股沟斜疝的疗效及并发症比较。方法:采用分层抽样的方式选取2017年6月至2018年6月在我院手术治疗的小儿腹股沟斜疝120例,对照组60例选自2017年6月至2018年1月实施的下腹壁小切口行疝囊高位结扎术,观察组60例选自2018年2月至2018年6月实施的单孔腹腔镜下应用小儿活动拉钩行疝囊高位结扎术,对比两组患儿的手术时间、术中出血量、术后住院时间及术后并发症等。结果:观察组手术时间、术中出血量及术后下床活动时间分别为(10.5±2.2、1.2±0.2、2.7±0.4),均低于对照组,差异有统计学意义(P0.05);观察组术后并发症为(χ²=8.1068,P>0.05),低于对照组,差异有统计学意义。结论:单孔腹腔镜下应用小儿活动拉钩治疗腹股沟斜疝相比于下腹壁小切口手术治疗腹股沟斜疝疗效佳,手术创伤小,术后并发症少,术后恢复快。

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关键词 ：腹股沟斜疝, 腹腔镜, 单孔, 小儿活动拉钩, 腹膜外结扎

Abstract：Objective: To investigate the effect and complications of single-port laparoscopic with Pediatric activity retractor and surgery via small incision on inguinal hernia in children. Methods: 120 cases of pediatric indirect inguinal hernia operated in our hospital from June 2017 to June 2018 were selected by stratified sampling. 60 cases in the control group were treated with hernia sac high ligation through small incision of lower abdominal wall from June 2017 to January 2018. 60 cases in the observation group were treated with single-hole laparoscopic hernia sac high ligation under single-hole laparoscopy from February 2018 to June 2018. The operation time, blood loss, hospital stay and complications were compared between the two groups. Results: The operation time, intraoperative bleeding volume and postoperative free time in the observation group respectively was(10.5±2.2、1.2±0.2、2.7±0.4),which were lower than those in the control group,the differences were significant(P<0.05); The post-operative complications in the observation group respectively was(χ²=8.1068, P0.05), which was lower than the control group, the differences were significant. Conclusions: The single-port laparoscopic treatment of indirect inguinal hernia with pediatric movable hook has better curative effect, less trauma, fewer complications and quicker recovery than the small incision operation of lower abdominal wall.

Key words： Inguinal hernia Laparoscopy Single-port Pediatric activity retractor Extra-peritoneal closure

基金资助:2017年度河北省医学科学研究重点课题计划项目,(编号:20170884)

引用本文:

徐晓青, 杨广承. 单孔腹腔镜下应用小儿活动拉钩与下腹壁小切口治疗小儿腹股沟斜疝疗效及并发症比较[J]. 河北医学, 2019, 25(11): 1843-1846.
XU Xiaoqing, YANG Guangcheng. Comparison on the Efficacy and Complications of Single-port Laparoscopic Pediatric Indirect Inguinal Hernia Treated with Movable Hook and Small Incision of Lower Abdominal Vall. HeBei Med, 2019, 25(11): 1843-1846.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2019.11.022 或 http://www.hbyxzzs.cn/CN/Y2019/V25/I11/1843