经脐部单切口腹腔镜手术在小儿腹股沟斜疝中的应用(1)
摘要：目的 探析经脐部单切口腹腔镜手术在小儿腹股沟斜疝中的应用。方法 前瞻性选择我院普外科收治的86例腹股沟斜疝患儿，按其硬币投掷法分为两组，分别为对照组(给予传统手术)和研究组(给予经脐部单切口腹腔镜手术)，每组43例，比较两组患儿手术时间、下床活动时间、住院时间、住院费用、术后并发症及复发率情况。结果 研究组手术时间、住院时间、下床活动时间均明显低于对照组，且研究组住院费用明显高于对照组(P<0.05)，研究组切口感染、阴囊及精索血肿、伤口疼痛感、皮下气肿并发症发生率为4.65%，明显低于對照组的20.93%(χ2=5.1079，P=0.0238)。结论 经脐部单切口腹腔镜手术其操作简单、创伤小、疼痛轻、并发症及复发率低、术后恢复时间快，值得其临床上推广借鉴。
关键词：经脐部；单切口腹腔镜手术；小儿腹股沟斜疝；应用
中图分类号：R726.5 文献标识码：A 文章编号：1006-1959(2017)14-0070-02
, http://www.100md.com
Application of Single Incision Laparoscopic Operation via Umbilical Region in Indirect Inguinal Hernia in Children
LI Gang，CAO Yin-sheng，DUAN Zhi-heng
(Department of General Surgery，Ningxian People's Hospital of Gansu Province，Qingyang 745200，Gansu，China)
Abstract：Objective To explore the application of umbilical single incision laparoscopic surgery in inguinal hernia of children.Methods A total of 86 patients with inguinal hernia were randomly divided into two groups according to their coin throwing method： the control group(given the traditional operation)and the study group(given the umbilical single incision laparoscopic surgery )，each group of 43 cases，compared the two groups of children with surgery time，bedtime，hospital stay，hospital costs，postoperative complications and recurrence rate.Results The time of operation，the time of hospital stay and the time of getting out of bed were significantly lower than those of the control group，and the hospitalization cost of the study group was significantly higher than that of the control group(P<0.05).The incidence of incisional infection，scrotal and spermatic cord hematoma，wound pain and subcutaneous emphysema was 4.65%，which was significantly lower than that of the control group 20.93%(χ2=5.1079，P=0.0238).Conclusion The laparoscopic operation of the umbilical incision is simple，the trauma is small，the pain is light，the complication rate and the recurrence rate are low， and the recovery time is fast.It is worthy of clinical application.
, 百拇医药
Key words：Umbilical；Single incision laparoscopic surgery；Pediatric inguinal hernia；Application
小儿腹股沟斜疝是普外科及小儿外科常见疾病之一，其发病率约为0.8%～4.4%，男童发病率是女性的12倍，早产儿发病率更高[1-2]。该病主要由于腹膜鞘状突未闭合，鞘状突的开放或腹腔压力的增高使腹腔内容物如大网膜、肠管，卵巢、输卵管等就会从这里突向体表，从而形成的疝气[3-4]。临床上多采用疝囊高位结扎进行手术治疗。然而，随着近几年来先进医学科技的不断发展，小儿腹股沟斜疝的手术逐渐向微创发展；腹腔镜被广泛应用于腹股沟斜疝的治疗。本次研究笔者为进一步探析经脐部单切口腹腔镜手术在小儿腹股沟斜疝中的应用，前瞻性选取我院普外科收治的86例腹股沟斜疝患儿，分别为对照组和研究组，其应用显著，现将结果报道如下。
1 资料与方法
1.1一般资料
本次研究经本院医学伦理委员会审核批准，在患者知情同意并签署知情同意书前提下前瞻性选择本院2010年3月～2015年9月普外科收治的86例被确诊为腹股沟斜疝患儿，采用硬币投掷法将其分为对照组和研究组，每组43例。对照组中男36例，女7例；年龄2～9岁，平均年龄(4.50±0.24)岁；右侧有28例，左侧有9例，双侧有6例。研究组中男39例，女4例；年龄2～10岁，平均年龄(6.00±0.13)岁；右侧有23例，左侧有15例，双侧有5例。两组患儿在性别、年龄、病种、时间等基线资料方面比较无统计学意义(P>0.05)，具有可比性。, 百拇医药(李刚 曹银生 段志恒)
关键词：经脐部；单切口腹腔镜手术；小儿腹股沟斜疝；应用
中图分类号：R726.5 文献标识码：A 文章编号：1006-1959(2017)14-0070-02
, http://www.100md.com
Application of Single Incision Laparoscopic Operation via Umbilical Region in Indirect Inguinal Hernia in Children
LI Gang，CAO Yin-sheng，DUAN Zhi-heng
(Department of General Surgery，Ningxian People's Hospital of Gansu Province，Qingyang 745200，Gansu，China)
Abstract：Objective To explore the application of umbilical single incision laparoscopic surgery in inguinal hernia of children.Methods A total of 86 patients with inguinal hernia were randomly divided into two groups according to their coin throwing method： the control group(given the traditional operation)and the study group(given the umbilical single incision laparoscopic surgery )，each group of 43 cases，compared the two groups of children with surgery time，bedtime，hospital stay，hospital costs，postoperative complications and recurrence rate.Results The time of operation，the time of hospital stay and the time of getting out of bed were significantly lower than those of the control group，and the hospitalization cost of the study group was significantly higher than that of the control group(P<0.05).The incidence of incisional infection，scrotal and spermatic cord hematoma，wound pain and subcutaneous emphysema was 4.65%，which was significantly lower than that of the control group 20.93%(χ2=5.1079，P=0.0238).Conclusion The laparoscopic operation of the umbilical incision is simple，the trauma is small，the pain is light，the complication rate and the recurrence rate are low， and the recovery time is fast.It is worthy of clinical application.
, 百拇医药
Key words：Umbilical；Single incision laparoscopic surgery；Pediatric inguinal hernia；Application
小儿腹股沟斜疝是普外科及小儿外科常见疾病之一，其发病率约为0.8%～4.4%，男童发病率是女性的12倍，早产儿发病率更高[1-2]。该病主要由于腹膜鞘状突未闭合，鞘状突的开放或腹腔压力的增高使腹腔内容物如大网膜、肠管，卵巢、输卵管等就会从这里突向体表，从而形成的疝气[3-4]。临床上多采用疝囊高位结扎进行手术治疗。然而，随着近几年来先进医学科技的不断发展，小儿腹股沟斜疝的手术逐渐向微创发展；腹腔镜被广泛应用于腹股沟斜疝的治疗。本次研究笔者为进一步探析经脐部单切口腹腔镜手术在小儿腹股沟斜疝中的应用，前瞻性选取我院普外科收治的86例腹股沟斜疝患儿，分别为对照组和研究组，其应用显著，现将结果报道如下。
1 资料与方法
1.1一般资料
本次研究经本院医学伦理委员会审核批准，在患者知情同意并签署知情同意书前提下前瞻性选择本院2010年3月～2015年9月普外科收治的86例被确诊为腹股沟斜疝患儿，采用硬币投掷法将其分为对照组和研究组，每组43例。对照组中男36例，女7例；年龄2～9岁，平均年龄(4.50±0.24)岁；右侧有28例，左侧有9例，双侧有6例。研究组中男39例，女4例；年龄2～10岁，平均年龄(6.00±0.13)岁；右侧有23例，左侧有15例，双侧有5例。两组患儿在性别、年龄、病种、时间等基线资料方面比较无统计学意义(P>0.05)，具有可比性。, 百拇医药(李刚 曹银生 段志恒)
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