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目的:对比分析腹腔镜小儿疝囊高位结扎术和传统小儿疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果。方法:分析小儿腹股沟斜疝患儿96例,其中50例行腹腔镜小儿疝囊高位结扎术,46例接受传统小儿疝囊高位结扎术,比较两组术中(切口大小、手术时间)及术后各项指标(住院时间、术后并发症及复发率等)。结果:腹腔镜组手术时间、切口大小均明显优于传统手术组(P<0.05);与传统手术组相比较,经腹腔镜疝囊高位结扎术的患儿术后住院时间明显缩短(P<0.05),且仅1例出现术后阴囊胀气,2天后完全吸收,术后随访两周到24个月,无1例出现阴囊水肿、切口下积血积液及感染睾丸萎缩等并发症;腹腔镜组复发率显著低于传统手术组(P<0.05)。结论:腹腔镜小儿疝囊高位结扎术在治疗小儿腹股沟疝方面具有创伤小,安全性高,术后恢复及住院时间短,术后并发症少等优点,临床值得推广应用。
OBJECTIVE: To compare and analyze the clinical effect of laparoscopic high ligation of pediatric hernia and traditional pediatric high ligation of hernia sac in the treatment of indirect inguinal hernia in children. Methods: Totally 96 children with inguinal hernia in children were enrolled. Among them, 50 cases underwent laparoscopic high ligation of pediatric hernia and 46 cases underwent traditional high ligation of pediatric hernia. Comparisons were made among the two groups (incision size, operation time) and operation After the indicators (hospitalization time, postoperative complications and recurrence rate). Results: Compared with the traditional operation group, the laparoscopic operation time and incision size were significantly better than the traditional operation group (P <0.05). Compared with the traditional operation group, the postoperative hospitalization time of laparoscopic high ligation of hernia sac was significantly shorter (P < 0.05). Only 1 patient had scrotal flatulence after 2 days and was completely absorbed after 2 days. The patients were followed up for two weeks to 24 months. There was no complication of scrotal edema, incision effusion and testicular atrophy. Laparoscopy Group recurrence rate was significantly lower than the traditional surgery group (P <0.05). Conclusion: Laparoscopic high ligation of pediatric hernia sac has the advantages of less trauma, higher safety, shorter postoperative recovery, shorter hospital stay and fewer postoperative complications in the treatment of inguinal hernia in children.