腹腔镜与开腹手术治疗腹股沟疝患儿临床疗效比较

目的分析腹腔镜与开腹手术治疗小儿腹股沟疝修补术临床疗效。 方法回顾性分析2014年1月至2015年11月，新疆维吾尔自治区人民医院米东医院收治的76例小儿腹股沟疝患儿临床资料，根据手术方式将其分为腹腔镜组（观察组）和开腹组（对照组）各38例，观察2组患儿的手术情况，对比2组患儿的临床治疗效果、不良反应及复发情况。 结果观察组手术时间、术中出血量以及自主活动恢复时间均低于对照组，差异有统计学意义[（14.6±3.6）min比（24.7±5.8）min、（1.9±0.9）ml比（5.2±1.5）ml、（10.8±3.6）h比（21.9±5.2）h，P均<0.05]。与对照组相比，观察组患者的治疗有效率（97.6%>81.6%）相对高，而并发症发生率（2.6%<10.5%）和复发率（0<7.9%）相对低，差异有统计学意义（P<0.05）。 结论腹腔镜内环口缝扎术治疗小儿腹股沟疝较传统手术微创、安全，值得推广。

Comparison between laparoscopic and open surgery in the treatment of pediatric inguinal hernia

ObjectiveTo analysis the curative effect of different pediatric hernia surgery methods. MethodsThe clinical data of 76 children with inguinal hernia admitted to Midong Hospital of Xinjiang Uygur Autonomous Region People's Hospital from January 2014 to November 2015 were retrospectively analyzed. According to the operation method, the patients were divided into the laparoscopic group (observation group) and open group (control group) with 38 cases in each. The operation details of the two groups were observed and the therapeutic effects, adverse reactions and recurrence were compared. ResultsThe operation time [(14.6+3.6) minutes vs (24.7+5.8) minutes], intraoperative blood loss [(1.9+0.9) ml vs (5.2+1.5) ml] and activity recovery time [(10.8+3.6) hours vs (21.9+5.2) hours] were lower than those in the control group. Compared with control group, the effective rate of treatment (97.6% vs 81.6%) in the observation group was higher, while the incidence of complications (2.6% vs 10.5%) and recurrence rate (0 vs 7.9%) were lower (P<0.05). ConclusionThe laparoscopic surgery for pediatric hernia is safe and worthy of clinical promotion.