腹腔镜与微创治疗小儿腹股沟疝对比研究
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摘要
目的探究腹腔镜与微创治疗小儿腹股沟疝的临床疗效。方法选择2014年2月—2018年2月我院收治的90例小儿腹股沟疝患儿作为研究对象,按不同治疗方式,将其随机分为研究组和对比组。研究组采用腹腔镜手术治疗,对比组采用微创小切口手术治疗,比较两组患者的手术时间、术中出血量、住院时间、术后下床活动时间、术后并发症、住院费用等情况。结果研究组患者的术中出血量、伤口愈合时间及住院时间均优于对比组,差异具有统计学意义(P <0.05);研究组住院费用、疼痛程度高于对比组,差异具有统计学意义(P <0.05);两组患者的手术时间、术后下床时间比较,差异无统计学意义(P>0.05);研究组对侧隐匿疝的发现率、术后并发症发生率均优于对比组,差异具有统计学意义(P <0.05)。结论腹腔镜手术治疗小儿腹股沟疝优势更加明显,但手术费用较高,术后疼痛明显。所以要根据综合情况选择合理的治疗方式。
Objective To explore the clinical efficacy of laparoscopic and minimally invasive treatment of inguinal hernia in children. Methods 90 children with inguinal hernia admitted to our hospital from February 2014 to February 2018 were selected as the study subjects. According to different treatment methods, they were randomly divided into study group and control group. The study group was treated with laparoscopic surgery. The control group was treated with minimally invasive small incision surgery.The operation time, intraoperative bleeding volume, hospitalization time,time of getting out of bed after operation, complications and hospitalization expenses were compared between the two groups. Results The bleeding volume, wound healing time and hospitalization time in the study group were better than those in the control group, with statistical significance(P< 0.05). The hospitalization expenses and pain degree in the study group were higher than those in the control group, with statistical significance(P < 0.05). There was no significant difference in the operation time and the time of getting out of bed after operation between the two groups(P >0.05). The detection rate of contralateral concealed hernia and the incidence of complications in the study group were better than those in the control group, with statistical significance(P < 0.05). Conclusion Laparoscopic surgery for inguinal hernia in children has more obvious advantages, but the operation cost is higher, and the pain is obvious after operation. Therefore,we should choose a reasonable treatment based on the comprehensive situation.
Objective To explore the clinical efficacy of laparoscopic and minimally invasive treatment of inguinal hernia in children. Methods 90 children with inguinal hernia admitted to our hospital from February 2014 to February 2018 were selected as the study subjects. According to different treatment methods, they were randomly divided into study group and control group. The study group was treated with laparoscopic surgery. The control group was treated with minimally invasive small incision surgery.The operation time, intraoperative bleeding volume, hospitalization time,time of getting out of bed after operation, complications and hospitalization expenses were compared between the two groups. Results The bleeding volume, wound healing time and hospitalization time in the study group were better than those in the control group, with statistical significance(P< 0.05). The hospitalization expenses and pain degree in the study group were higher than those in the control group, with statistical significance(P < 0.05). There was no significant difference in the operation time and the time of getting out of bed after operation between the two groups(P >0.05). The detection rate of contralateral concealed hernia and the incidence of complications in the study group were better than those in the control group, with statistical significance(P < 0.05). Conclusion Laparoscopic surgery for inguinal hernia in children has more obvious advantages, but the operation cost is higher, and the pain is obvious after operation. Therefore,we should choose a reasonable treatment based on the comprehensive situation.
引文
[1]邹劲林,彭培建,毛盛名,等.腹腔镜、小切口与传统手术治疗小儿腹股沟疝的临床比较[J].中华普通外科学文献(电子版),2018,12(1):47-50.
[2]黄瑞旺,魏建彬,邓菩提.腹腔镜小儿疝囊高位结扎术和开放式小切口手术治疗小儿疝的疗效观察[J].现代诊断与治疗,2017,28(10):1788-1790.
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[4]葛军,冯翠竹,泽多.腹横纹小切口开放手术和腹腔镜手术治疗小儿腹股沟疝效果比较[J].中华疝和腹壁外科杂志(电子版),2017,11(1):50-52.
[5]刘长河.腹腔镜与小切口腹股沟疝手术的效果对比[J].床医药文献电子杂志,2017,4(2):267-268.
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[7]王有亮,顾琦.腹腔镜高位结扎术和腹横纹下小切口治疗儿童腹股沟疝的优劣差异[J].医学理论与实践,2015,28(10):1274-1275.
[8]程千里,周亚龙,余书勇,等.腹腔镜下微创治疗小儿腹股沟疝的临床研究[J].检验医学与临床,2015,12(13):1864-1865.
[9]陈玉龙,孙红英.微创手术治疗小儿腹股沟疝的治疗与临床观察[J].健康导报:理论周刊,2015,20(11):32.
[10]段永福,赵成鹏,周晓波,等.腹腔镜与传统手术治疗小儿腹股沟斜疝的对比研究[J].中国微创外科杂志,2017,17(3):234-236.
[11]李小腾,林云,张国然.腹腔镜微创手术治疗腹股沟疝效果分析[J].中国医疗器械信息,2018,24(2):89-90.
[12]刘杨桦,邓洪强.腹腔镜治疗小儿腹股沟斜疝的研究进展[J].中国临床新医学,2014,7(8):788-792.
[2]黄瑞旺,魏建彬,邓菩提.腹腔镜小儿疝囊高位结扎术和开放式小切口手术治疗小儿疝的疗效观察[J].现代诊断与治疗,2017,28(10):1788-1790.
[3]石元同,张思德.腹腔镜与微创小切口手术治疗小儿腹股沟疝的临床疗效比较[J].腹腔镜外科杂志,2017,22(2):105-107.
[4]葛军,冯翠竹,泽多.腹横纹小切口开放手术和腹腔镜手术治疗小儿腹股沟疝效果比较[J].中华疝和腹壁外科杂志(电子版),2017,11(1):50-52.
[5]刘长河.腹腔镜与小切口腹股沟疝手术的效果对比[J].床医药文献电子杂志,2017,4(2):267-268.
[6]朱治刚.开放式小切口疝囊高位结扎与腹腔镜下治疗小儿腹股沟疝的比较[J].中国医药指南,2016,14(13):167.
[7]王有亮,顾琦.腹腔镜高位结扎术和腹横纹下小切口治疗儿童腹股沟疝的优劣差异[J].医学理论与实践,2015,28(10):1274-1275.
[8]程千里,周亚龙,余书勇,等.腹腔镜下微创治疗小儿腹股沟疝的临床研究[J].检验医学与临床,2015,12(13):1864-1865.
[9]陈玉龙,孙红英.微创手术治疗小儿腹股沟疝的治疗与临床观察[J].健康导报:理论周刊,2015,20(11):32.
[10]段永福,赵成鹏,周晓波,等.腹腔镜与传统手术治疗小儿腹股沟斜疝的对比研究[J].中国微创外科杂志,2017,17(3):234-236.
[11]李小腾,林云,张国然.腹腔镜微创手术治疗腹股沟疝效果分析[J].中国医疗器械信息,2018,24(2):89-90.
[12]刘杨桦,邓洪强.腹腔镜治疗小儿腹股沟斜疝的研究进展[J].中国临床新医学,2014,7(8):788-792.