小儿腹腔镜疝囊高位结扎术与传统疝囊高位结扎术的比较研究

田东

（陕西省安康市平利县医院，陕西 安康，725500）

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摘要：

目的 探讨腹腔镜疝囊高位结扎术治疗小儿腹股沟疝的临床疗效。方法 回顾性分析我院应用腹腔镜手术治疗小儿腹股沟疝75例患儿与应用传统疝囊高位结扎术治疗小儿腹股沟疝30例患儿的临床资料，观察两组患儿的手术时间、术中出血量、住院时间、住院总费用与随访6月的并发症发生情况、复发率等。结果 两组患儿均治愈。腹腔镜组的手术时间、术中出血量、住院时间与随访6个月并发症发生率均优于传统组（P<0.05）；两组患儿住院总费用、术后疝复发率比较，差异无统 计学意义（P>0.05）。结论 腹腔镜疝囊高位结扎术治疗小儿腹股沟疝具有操作简单、手术与住院时间短、术后并发症少等优势，术中可发现并同时治疗对侧隐匿疝，且不增加住院费用。

关键词：腹腔镜；疝囊高位结扎术；小儿腹股沟疝

中图分类号：R726.5 文献标志码：A文章编号：2096-1413(2017)13-0095-02

Comparative study of high ligation of laparoscopic hernia sac and ligation of traditional hernia sac in children
TIAN Dong
(Pingli County Hospital, Ankang 725500, China)

ABSTRACT: Objective To investigate the effects of laparoscopic hernia sac high ligation in the treatment of pediatric inguinal hernia. Methods Retrospectively analyzed the clinical data of 75 cases with pediatric inguinal hernia underwent laparoscopic surgery and 30 cases underwent traditional hernia sac high ligation in our hospital, then the operative time, intraoperative blood loss, hospitalization time, total cost of hospitalization and complications and recurrences of 6months follow-up between the two groups were observed. Results Children in the two groups were all cured. The operation time, intraoperative blood loss, hospitalization time and complications of 6 months follow-up of the laparoscopy group were better than those of the traditional group (P<0.05). There was no significant difference in the total cost of hospitalization and the recurrence of hernia between the two groups after operation (P>0.05). Conclusion Laparoscopic hernia sac high ligation is simple, which has shorter operation and hospitalization time, less postoperative complications and other advantages in the treatment of pediatric inguinal hernia. It can find and treat the contralateral hidden hernia at the same time in the operation, with no increase in hospitalization expenses.
KEYWORDS: laparoscopic; hernia sac high ligation; pediatric inguinal hernia

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