腹横纹横形小切口并皮肤拉拢法治疗小儿腹股沟疝的临床应用

目的 探讨基层医院采用腹横纹横形小切口并皮肤拉拢法治疗小儿腹股沟疝的临床效果.方法 选取2006年5月～2012年12月在遂川县中石乡中心卫生院手术治疗腹股沟疝的患儿80例,将患者按照手术方式分为腹横纹横行小切口并皮肤拉拢法组（改进组）和传统手术组（对照组）,每组各40例.比较两组的手术切口长度、手术时间、住院时间、切口瘢痕等.结果 改进组的切口长度为（1.5±0.55）cm,对照组为（3.3±0.45）cm,改进组的手术时间为（20±9） min,对照组为（34±10）min,改进组的住院时间为（2.7±1）d,对照组为（4.8±1.5）d,改进组的住院费用为（1450±150）元,对照组为（1980±150）元,改进组的术后切口瘢痕为（1.5±0.55） cm,对照组为（3.3±0.45） cm,两组的上述指标比较差异有统计学意义（P＜0.05）,改进组手术切口优于对照组.结论 腹横纹横形小切口并皮肤拉拢法治疗小儿腹股沟斜疝切口小、损伤小、操作简单、切口美观无明显瘢痕、住院时间短、住院费用低,值得在基层医院推广应用.

Clinical application of abdominal transverse striation small transverse incision combined with skin drawing method in treatment of children with inguinal hernia

Objective To investigate the clinical effect of abdominal transverse striation small transverse incision com- bined with skin drawing method treating inguinal hernia in children in primary hospitals. Methods 80 children with in- guinal hernia treated by operation in our hospital from May 2006 to December 2012 were selected and divided into the abdominal transverse striation small transverse incision combined with skin drawing method group （the improvement group） and the traditional operation group （the control group） and there were 40 cases in each group.The surgical inci- sion length,operative time,length of stay,incision scar and other indicators of the two groups were compared. Results The incision length was （1.5±0.55）cm in the improvement group and （3.3±0.45）cm in the control group respectively,the operative time was （20±9）minutes in the improvement group and （34±10）minutes in the control group respectively,the length of stay was （2.7±1）days in the improvement group and （4.8±1.5）days in the control group respectively, the hospi- talization cost was （1450±150）yuan in the improvement group and （1980±150）yuan in the control group respectively and the incision scar was （1.5±0.55） cm in the improvement group and （3.3±0.45）cm in the control group respectively,and there was a statistical difference of the two groups （P〈0.05）.The improvement group was better than the control group in the surgical incision. Conclusion In the treatment of pediatric oblique inguinal hernia,abdominal transverse striation small transverse incision combined with skin drawing method has the advantages of small incision,small injury,easy op- eration,beautiful incision without obvious scar, short hospital stay and low hospitalization cost,thereby it is worthy of pro- motion and application in primary hospital.