腹腔镜手术与开放手术治疗小儿鞘膜积液的临床对照研究

目的:比较腹腔镜手术与传统手术治疗小儿鞘膜积液的临床疗效,为临床小儿鞘膜积液的治疗提供理论依据。方法:回顾分析102例鞘膜积液患儿的临床资料,其中60例行腹腔镜手术(腹腔镜组),42例行开放手术(传统组),对比分析两组手术时间、术中出血量、术后自主活动时间、住院费用及并发症情况。结果:腹腔镜组术中出血量、术后自主活动时间及有关并发症发生率优于传统组(P<0.01),住院费用较传统手术组高(P<0.01)。两组单侧手术时间差异无统计学意义(P>0.05),但双侧手术时间腹腔镜组更短(P<0.01)。结论:腹腔镜手术治疗小儿鞘膜积液较传统开放手术更加安全、有效,值得临床推广应用。

Clinical control study of laparoscopic operation and traditional operation in treatment of pediatric hydrocele

Objective:To compare the clinical effect between laparoscopic operation and traditional operation in treatment of pediatric hydrocele ,and provide theoretical basis for the clinical treatment of pediatric hydrocele .Methods:The clinical data of 102 children with hydrocele were retrospectively analyzed .60 patients underwent laparoscopic treatment ( laparoscopic group ) and the other 42 patients underwent classic open operation ( traditional group ) .The duration of operation ,intraoperative blood loss ,postoperative am-bulation time,hospitalization expense and complications of two groups were compared .Results:Compared with the traditional group , there was significant reduction in laparoscopic group regarding amount of bleeding during surgery , postoperative ambulation time and complication (P<0.01),while the hospitalization expense was higher than the traditional group (P<0.01).There was no statistical difference in the duration of operation with unilateral hydrocele between two groups .While the surgery time of bilateral hydrocele in lap-aroscopic group was shorter than that in traditional group (P<0.01).Conclusions:Compared with traditional surgery ,laparoscopic op-eration has advantages in terms of efficacy and safety for pediatric hydrocele ,and is worthy of clinical promotion .