不同手术方式治疗小儿腹股沟疝临床疗效

目的比较腹腔镜手术方式、皮横纹下横行小切口术及传统开放手术治疗小儿腹股沟疝临床疗效。 方法回顾性分析2012年1月至2019年1月，湖北省公安县人民医院住院治疗的小儿腹股沟疝396例患者的临床资料，其中行腹腔镜手术治疗124例（A组）、行皮横纹下横行小切口术134例（B组）、行传统开放手术138例（C组），比较3组患者手术效果及并发症发生情况。 结果3组患儿手术时间、术中出血量、手术切口长度以及住院时间等情况比较，差异有统计学意义（F=1021.469、3426.029、1003.086、945.457，P均<0.001）；组间两两比较，差异均有统计学意义（P<0.05）。3组患儿自主活动时间、术后排气时间以及疼痛评分情况比较，差异均有统计学意义（F=2051.296、519.327、232.345，P均<0.001）；组间两两比较，差异均有统计学意义（P均<0.05）。3组患儿术后并发症总发生率比较，差异有统计学意义（χ²=11.704，P=0.003）；A组和B组并发症发生率均显著低于C组，差异有统计学意义（P<0.05）；而A组与B组并发症发生率比较，差异无统计学意义（P>0.05）。 结论相较于传统开放手术及皮横纹下横行小切口术，腹腔镜手术治疗小儿腹股沟疝具有手术时间短、创伤小，术后恢复快，安全性高等优点，值得临床上进一步推广应用。

Comparison of clinical efficacy of different surgical methods in the treatment of inguinal hernia in children

ObjectiveTo compare the clinical efficacy of laparoscopic surgery, small transverse incision under the transverse stripes surgery and traditional open surgery for the treatment of children with inguinal hernia. MethodsThe clinical data of 396 children with inguinal hernia treated by the People's Hospital of Gongan County from January 2012 to January 2019 were retrospectively analyzed. Among them, 124 patients underwent laparoscopic surgery (group A), 134 patients underwent small transverse incision under the transverse stripes surgery (group B) and 138 cases underwent traditional open surgery (group C). The surgical outcomes and complications of the three groups were compared. ResultsThe operation time, intraoperative blood loss, length of incision, length of hospital stay, the time of activity, exhaust time and pain scores in the three groups were statistically significant (P<0.05). After multiple comparison, the differences were significant among the three groups. The complication rate of group A and group B (1.65%, 3.73%) was significantly lower than that of group C (10.86%) (P<0.05). There was no significant difference in the incidence of complications between group A and group B (P>0.05). ConclusionCompared with traditional open surgery and small transverse incision under the transverse stripes surgery, laparoscopic surgery inguinal hernia has the advantages of short operation time, small trauma, quick recovery and high safety. It is worthy of further clinical application.