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| 腹腔镜与传统手术治疗小儿嵌顿性腹股沟斜疝疗效对比分析 |
| Comparative analysis of laparoscopic and traditional operation in treatment of incarcerated inguinal hernia in children |
| 投稿时间：2015-08-06 |
| DOI：10.3969/j.issn.1000-0399.2016.02.016 |
| 中文关键词: 儿童 嵌顿性斜疝 腹腔镜 |
| 英文关键词: Children Incarcerated oblique hernia Laparoscopy |
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| 中文摘要: |
| 目的 对比分析腹腔镜手术与传统经腹横纹切口手术治疗小儿嵌顿性腹股沟斜疝的临床疗效。方法 回顾分析2013年9月至2014年9月156例嵌顿性腹股沟斜疝患儿临床资料,其中80例行腹腔镜手术,76例行经腹横纹切口手术,对两组患儿的手术时间、肠鸣音恢复时间、住院时间、术后复发率、术后感染等进行对比分析。结果 腹腔镜组患者平均手术时间、肠鸣音恢复时间、住院时间均显著优于传统手术组,差异有统计学意义(P<0.05);两组患者术后复发率、感染率比较,差异无统计学意义(P>0.05)。结论 腹腔镜手术治疗小儿嵌顿性腹股沟斜疝较经腹横纹切口手术具有创伤小、恢复快等优点。 |
| 英文摘要: |
| Objective To compare the clinical efficacy of laparoscopic operation and abdominal transverse incision operation in treatment of incarcerated oblique inguinal hernia in children.Methods The clinical data of 156 cases of children with incarcerated oblique hernia, ever treated from Sep 2013 to Sep 2014, were retrospectively analyzed.There were 80 cases of laparoscopic operation and 76 cases of abdominal transverse incision operation among all children.The operative time, borborygmus recovery time, hospitalized time, postoperative recurrence rate and postoperative infection rate of patients between the two surgical methods were compared and analyzed.Results In the laparoscopic surgery group, the average operative time, borborygmus recovery time and hospital ized time were significantly superior to those in the traditional surgery group, and their difference swere statistically significant(P<0.05), but there was no significant difference in the postoperative recurrence rate and infection rate between them(P>0.05).Conclusion Compared with the abdominal transverse incision surgery, the laparoscopic surgery in treatment of children with incarcerated hernia has the advantages of minimal invasion and rapid recovery, beingworthy of clinical application. |
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