微创小切口疝囊高位结扎术治疗小儿腹股沟斜疝的疗效观察

目的探讨微创小切口疝囊高位结扎术治疗小儿腹股沟斜疝的疗效。方法选择110例腹股沟斜疝患儿，根据手术方式不同分为观察组与对照组，每组各55例，其中观察组患儿采用小切口疝囊高位结扎术，对照组患儿采用常规经腹斜切口手术方式，比较两组患儿的手术时间、术中出血量、疼痛评分、住院时间、治愈率、术后并发症及术后复发情况。结果两组手术治愈率均高达100％，观察组手术时间、术中出血量、术后24h疼痛评分、住院时间、术后复发率及并发症出发生率（31．47±5．36）min、（10．53±2．15）mL、（4．51±1．05）分、（4．85±1．17）d,0、7．2％]均低于对照组（34．15±6．12）min、（18．17±3．16）mL、（5．01±1．31）分、（6．68±1．58）d、10．9％、21．8％]（t=2．10、2．98、2．14、2．46，）（x2=4．69，均P〈0．05）。结论采用微创小切口疝囊高位结扎术治疗小儿腹股沟斜疝具有手术时间短、术中出血少、术后复发率及并发症发生率低等优点，是一种安全有效的手术方式。

Curative effect analysis of minithoracotomy heruiography ligation to treat indirect inguinal hernia in children

Objective To discuss curative effect analysis of minithoracotomy herniography ligation to treat indirect inguinal hernia in children. Methods 110 cases of children with indirect inguinal hernia were selected and divided into experimental group and control group in accordance with different methods of operation with 55 cases of patients for either group respectively. The children in experimental group were given minithoracotomy herniography ligation, while the children in control group were given routine operation mode of abdominal incision. The operation time, operative blood loss, pain score, length of stay, cure rate, postoperative complication and reoccurrence. Results The cure rates of children in two groups were both 100%, the operation time, operative blood loss, pain score 24 hours after operation, length of stay, postoperative reoccurrences of reoccurrence and complication in experimental group （ 31.47 ±5.36 ） min, （ 10. 53± 2.15 ） mL, （4.51 ± 1.05 ） score, （ 4.85 ± 1.17 ） d, 0,7.2 % ] were much better than that in control group （34.15 ± 6.12 ） min, （ 18. 17 ±3.16） rnL, （ 5. 01 ± 1.31 ） score, （ 6.68 ± 1.58 ） d, 10. 9%, 21.8% ] （ t = 2.10,2.98,2.14,2.46, X2 = 4.69, all P 〈 0. 05 ）. Conclusion Minithoracotomy herniography ligation has the following advantages to treat indirect inguinal hernia in children, short operation time, little operative blood loss,light postoperative pain, quick postoperative recovery,low postoperative reoccurrence rates and complication rates and etc, which is a safe and effective operation method.