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目的比较常规切口、小切口与腹腔镜下疝囊高位结扎术治疗小儿腹股沟斜疝的疗效。方法回顾分析120例小儿腹股沟斜疝患儿的临床资料,根据治疗方式不同分为常规切口组(32例)、小切口组(46例)与腹腔镜组(42例),分别采用常规切口、小切口、腹腔镜下疝囊高位结扎术,观察对比术后患儿的恢复和复发情况。结果腹腔镜组患儿切口最小,小切口组次之,常规切口组最大(P<0.01);腹腔镜组和小切口组术后下床活动的时间及术后住院天数均明显短于常规切口组(P均<0.05);常规切口组术后阴囊肿胀发生率(34.4%)明显高于小切口组(6.5%)和腹腔镜组(2.4%,P均<0.05),术后复发率(31.2%)明显高于小切口组(6.5%)和腹腔镜组(4.8%,P均<0.05)。结论腹腔镜下疝囊高位结扎术能够缩小手术切口、缩短术后下床时间和住院时间,同时有效控制术后阴囊水肿和腹股沟疝的复发。
Objective To compare the curative effect of conventional incision, small incision and laparoscopic high ligation of hernia sac in the treatment of infantile inguinal hernia. Methods The clinical data of 120 cases of infantile inguinal hernia were retrospectively analyzed. According to the different treatment methods, they were divided into conventional incision group (32 cases), small incision group (46 cases) and laparoscopic group (42 cases) Small incision, laparoscopic high ligation of hernia sac, observation and recovery of children with postoperative recovery. Results The laparoscopic group had the smallest incision, the second incision group followed by the conventional incision group (P <0.01). The laparoscopic group and small incision group had significantly shorter ambulation and postoperative hospital stay than those with conventional incision (P <0.05). The incidence of scrotal swelling in the conventional incision group (34.4%) was significantly higher than that in the small incision group (6.5%) and the laparoscopic group (2.4%, P <0.05) 31.2%) was significantly higher than the small incision group (6.5%) and laparoscopic group (4.8%, P <0.05). Conclusion Laparoscopic high ligation of hernia sac can reduce the surgical incision, shorten the time after bed and hospital stay, and effectively control postoperative scrotal edema and inguinal hernia recurrence.