腹股沟管前壁折叠术治疗小儿巨大腹股沟斜疝的效果评价

目的探讨腹股沟管前壁折叠术在小儿巨大腹股沟斜疝中的应用效果。方法 2012年1月至2015年1月我们共对301例334侧巨大腹股沟疝患儿实施手术。将患儿随机分成两组,实验组159例177侧,对照组142例157侧。对照组仅行腹股沟皮纹横切口疝囊高位结扎术,实验组予腹股沟皮纹横切口疝囊高位结扎并腹股沟管前壁折叠术。结果两组在年龄、性别、术后住院时间及并发症的发生情况上比较均无统计学意义。手术时间:实验组(21.4±4.6)min,对照组(17.2±3.5)min;术后复发情况:实验组复发1例,复发率0.56%;对照组复发7例,复发率4.46%。结论腹股沟管前壁折叠并疝囊高位结扎术特别适用于巨大腹股沟斜疝患儿,能明显降低术后复发率。

Efficacies of anterior wall plication for giant inguinal canal inguinal hernia in children

Objetive To explore the clinical efficacies of anterior wall plication of inguinal canal plica-tion in giant inguinal hernia of children. Methods A total of 301 patients of giant inguinal hernia with 334 sides from January 2012 to January 2015 were randomly divided into two groups.The control group underwent merely high ligation of hernia sac of inguinal skin.And high ligation of hernia sac and anterior wall plication of inguinal canal were performed in the experimental group.Results No significant inter-group differences exis-ted in gender,age,hospitalization duration and postoperative complications.Operative duration was slightly longer in experimental group than that in control group (21.4 ±4.6 vs 17.2 ±3.5 min).The postoperative re-currence rate was significantly lower in experimental group than that in control group (n =1,0.56% vs n =7, 4.46%). Conclusions Anterior wall plication of inguinal canal plus high ligation of hernial sac is particularly suitable for giant inguinal hernia in children.And it may significantly reduce the postoperative recurrence rate.