摘要
目的比较腹腔镜疝囊高位结扎术与传统开放式疝囊高位结扎术治疗小儿腹股沟疝的临床疗效及成本。方法选择2014年1月至2016年3月无锡市儿童医院收治的小儿腹股沟疝患者105例,根据手术方法分为传统手术组(n=53)和腹腔镜手术组(n=52),腹腔镜手术组患者行三孔法腹腔镜下疝囊高位结扎术,传统手术组患者行传统的开放式疝囊高位结扎术,比较2组患者的临床疗效及成本。结果腹腔镜手术组患者手术时间及术后下床活动时间显著短于传统手术组(P<0.01),术中出血量显著少于传统手术组(P<0.01)。腹腔镜手术组和传统手术组患者并发症发生率分别为5.8%(3/52)、22.6%(12/53),腹腔镜手术组患者并发症发生率显著低于传统手术组(χ~2=6.11,P<0.05)。腹腔镜手术组和传统手术组患者复发率分别为0.0%(0/52)、3.8%(2/53),2组患者复发率比较差异无统计学意义(χ~2=5.49,P>0.05)。腹腔镜手术组患者发现对侧隐性疝2例,而传统手术组患者未发现对侧隐性疝。腹腔镜手术组患者住院时间显著短于传统手术组(P<0.01),2组患者住院费用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手术时间短、术中出血量少、恢复快、并发症少、住院时间短等优势,且未增加治疗费用成本。
Objective To compare the clinical effect and cost of laparoscopic high ligation of hernial sac and traditional open high ligation of hernial sac in the treatment of children with inguinal hernia.Methods A total of 105 children with inguinal hernia were selected from January 2014 to March 2016 in Wuxi Children＆#39;s Hospital.The patients were divided into conventional operation group （n =53） and laparoscopic operation group （n =52） according to the operation methods,the patients in the laparoscopic operation group were treated with laparoscopic high ligation of hernial sac,and the patients in the conventional operation group were treated with traditional open high ligation of hernial sac.The clinical effect and cost were compared between the two groups.Results The operation time and postoperative ambulation time in laparoscopic operation group were significantly shorter than those in conventional operation group （P 〈 0.01）,and the intraoperative blood loss in laparoscopic operation group was significantly less than that in conventional operation group （P 〈 0.01）.The incidence of complications in laparoscopic operation group and conventional operation group was 5.8% （3/52） and 22.6% （12/53） respectively,the incidence of complications in laparoscopic operation group was significantly lower than that in conventional operation group （χ2 =6.11,P 〈 0.05）.The recurrence rate in laparoscopic operation group and conventional operation group was 0.0% （0/52） and 3.8% （2/53） respectively,there was no significant difference in the recurrence rate between the two groups （χ2 =5.49,P 〉 0.05）.Two cases of contralateral recessive hernia were found in the laparoscopic operation group,whereas no contralateral occult hernia was found in the conventional operation group.The hospitalization time in the laparoscopic operation group was significantly shorter than that in the conventional operation group （P 〈 0.01）.There was no significant difference in the cost between the two groups （P 〉 0.05）.Conclusion Laparoscopic high ligation of hernial sac for inguinal hernia in children has the advantages of shorter operation time,less blood loss,quicker recovery,less complications and shorter hospitalization time,and the cost of treatment is not increased.
出处
《新乡医学院学报》
CAS
2017年第8期745-747,共3页
Journal of Xinxiang Medical University
关键词
腹股沟疝
腹腔镜
疝囊高位结扎术
治疗成本
儿童
inguinal hernia
laparoscopes
high ligation of hernial sac
treatment cost
children
