腹腔镜下疝囊高位结扎治疗小儿腹股沟疝体会

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目的分析使用腹腔镜治疗小儿腹股沟疝的临床疗效。方法 68例腹股沟疝患儿,随机分为对照组和观察组,各34例。对照组使用传统疝囊高位结扎,观察组使用腹腔镜下疝囊高位结扎。针对两组治疗过程和术后并发症以及复发病例进行对比分析。结果对照组手术时间、恢复时间较观察组长,手术过程中切口较观察组大,观察组术后并发症发病率、复发率低于对照组,差异均具有统计学意义(P<0.05)。结论腹腔镜下疝囊高位结扎与传统疝囊结扎相比,造成的伤口更小,愈合时间更短,术后疼痛的患儿极少,操作简单,并发症的情况很少出现,临床治疗效果更好,值得推广应用。 Objective To analyze the clinical effect of laparoscopic treatment of infantile inguinal hernia. Methods Sixty-eight children with inguinal hernia were randomly divided into control group and observation group, with 34 cases in each group. The control group was treated with high ligation of traditional hernia sac, and the observation group underwent laparoscopic high ligation of hernia sac. For the two groups of treatment and postoperative complications and recurrence cases were compared. Results The operation time and recovery time of the control group were longer than those of the observation group. The incision in the operation was larger than that of the observation group. The postoperative morbidity and recurrence rate of the observation group were lower than those of the control group (P <0.05). Conclusion High laparoscopic hernia sac ligation compared with the traditional hernia sac ligation, resulting in smaller wounds, shorter healing time, minimally postoperative pain in children, simple operation, the incidence of complications is rare, the clinical effect Better, worth promoting.
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