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目的应用腹腔镜经脐单穿刺孔治疗男性小儿鞘膜积液和腹股沟斜疝,讨论单孔法在临床中的应用价值。方法 800例鞘膜积液和腹股沟斜疝患儿随机分为经脐单穿刺孔组(单孔组,380例)与经脐及腹侧壁双穿刺孔组(双孔组,420例),行腹腔镜鞘突高位结扎术,术后对临床效果进行统计与分析。结果两组患儿均100.0%治愈,单孔组术中出血量、住院时间及住院费用优于双孔组,差异有统计学意义(P<0.05)。结论经脐单穿刺孔腹腔镜手术具有安全性高、手术切口小、美观、疼痛小等优点,具有极高的应用价值,值得推广。
Objective To evaluate the value of single-hole method in the treatment of male pediatric hydrocephalus and inguinal hernia by laparoscopic transumbilical single puncture. Methods 800 cases of hydrocele and inguinal hernia were randomly divided into single puncture group (380 cases) and double puncture group (420 cases) Laparoscopic sheath high ligation surgery, the clinical effect of statistics and analysis. Results 100.0% of the children in both groups were cured. The intraoperative blood loss, hospital stay and hospitalization cost in the one-hole group were better than those in the two-hole group (P <0.05). Conclusion The transumbilical operation with single puncture of umbilical cord has the advantages of high safety, small incision, beautiful appearance and small pain. It is of great value and worth popularizing.