摘要
目的探讨腹腔镜治疗新生儿嵌顿性腹股沟斜疝的临床疗效。方法回顾性分析2012年3月~2016年11月78例新生儿嵌顿性腹股沟斜疝的临床资料,其中腹腔镜组38例,开放组40例。比较2组手术时间、住院时间、并发症。结果腹腔镜组52.6%(20/38)存在对侧隐匿性腹股沟斜疝。与开放组相比,腹腔镜组手术时间短[(35.7±5.2)min vs.(41.0±5.9)min,t=-4.178,P=0.000],住院时间短[(3.2±1.0)d vs.(4.6±1.1)d,t=-5.820,P=0.000],2组随访6~12个月,术后阴囊血肿、睾丸继发性萎缩发生率差异无显著性[12.9%(4/31)vs.28.1%(9/32),χ~2=2.228,P=0.136;6.5%(2/31)vs.12.5%(4/32),χ~2=0.151,P=0.698]。结论腹腔镜治疗新生儿嵌顿性腹股沟斜疝具有手术时间及住院时间短、能够探查对侧隐匿性腹股沟斜疝并同时治疗的优点。
Objective To observe the clinical effect of laparoscopic treatment of incarcerated inguinal hernia in neonates.Methods A retrospective analysis of clinical data of 78 cases of incarcerated inguinal hernia in newborn between March 2012 and November 2016 was conducted.The patients were divided into either laparoscopic group(38 cases)or open group(40 cases).The operation time,complications,and hospitalization time were compared between the two groups. Results There were 52.6%(20/38)of the children found contralateral inguinal hernia in the laparoscopic group.As compared with the open group,the laparoscopic group had shorter operation time[(35.7±5.2)min vs.(41.0±5.9)min,t=-4.178,P=0.000]and shorter hospitalization time[(3.2±1.0)d vs.(4.6±1.1)d,t=-5.820,P=0.000].The both groups were followed up for 6-12 months.No significant difference was seen in postoperative hematoma of scrotum and testis atrophy between the two groups[12.9%(4/31)vs.28.1%(9/32),χ2=2.228,P=0.136;6.5%(2/31)vs.12.5%(4/32),χ2=0.151,P=0.698]. Conclusion Laparoscopic treatment of incarcerated inguinal hernia in newborns has advantages of shorter operation time,shorter hospital stay,and the possibility of probing the contralateral inguinal hernia.
作者
马同胜
刘丰丽
曾战东
张建军
黄广锋
张宁
Ma Tongsheng;Liu Fengli;Zeng Zhandong(Department of Pediatric Surgery,Children’s Hospital of Xuzhou Medical University,Xuzhou 221000,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2018年第2期124-126,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
嵌顿疝
腹股沟斜疝
新生儿
Laparoscopy
Incarcerated hernia
Indirect inguinal hernia
Newborn
