腹股沟皮纹小切口与传统法行小儿腹股沟疝疝囊高位结扎的对比研究(1)
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【摘要】 目的：探讨腹股沟皮纹小切口行疝囊高位结扎治疗小儿腹股沟疝的临床价值。方法：回顾分析本院2007年1月-2011年1月117例行小儿腹股沟疝手术患者的临床资料，其中68例行传统腹股沟斜切口治疗，为A组，49例经腹股沟皮纹小切口治疗，为B组，比较两种手术方式在手术时间、术中出血、切口大小、并发症发生、住院时间等方面的差异。结果：两组患儿均全部治愈，在手术时间上两组比较差异无统计学意义(P>0.05)，切口大小、术中出血、并发症发生及住院时间上B组均优于A组，差异具有统计学意义(P<0.05)。结论：腹股沟皮纹小切口疝囊高位结扎术是一种创伤小、操作简单、安全性高、恢复快、并发症少的治疗方法，适合基层推广。
【关键词】 小儿腹股沟斜疝； 小切口； 疝囊高位结扎术
Comparative Research of Minimally Invasive Surgery and Routine Surgery of Hernia sac’s High Ligation in Treatment of Children’s Indirect Inguinal Hernia/AO Jian-ping，XIANG Chuan-nan.// Medical Innovation of China，2012，9(23)：009-010
【Abstract】 Objective：To explore clinical value of minimally invasive surgery of hernia sac’s high ligation in treatment of children’s indirect inguinal hernia.Method：117 cases of children’s indirect inguinal hernia from January 2007 to January 2011 were retrospectively analyzed . All of them were randomly divided into Group A(68 cases) and Group B(49 cases). Group A were given minimally invasive surgery of hernia sac’s high ligation， while the Group B were given routine operation.With observing the operation time，hemorrhage，incision，complications and time of hospitalization. Result：All cases were recovered；there were no significant difference in operation time(P>0.05)，but Group B was superior to group A in incision，hemorrhage，complications and time of hospitalization，there were statistically significant difference (P<0.05).Conclusion：The minimally invasive surgery of hernia sac’s high ligation is a good method， with fewer invasions， simple surgery. higher safety，quicker recovery and fewer complication，to be popularized.
【Key words】 Children indirect inguinal hernia； Minimally invasive surgery； High ligation of hernial sac
First-author’s address： The People’s Hospital of Luzhou ......
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