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目的观察腹腔镜疝囊高位结扎术治疗小儿腹股沟疝的临床效果。方法将小儿腹股沟疝患者90例随机分为观察组和对照组各45例。观察组均实施腹腔镜疝囊高位结扎术治疗,对照组则实施开放性疝囊高位结扎术治疗。对比2组患儿术中出血量、手术时间、住院时间、住院费用、后续并发症发生率等手术指标,同时统计2组患儿术后复发率。结果观察组术中出血量少于对照组,手术时间、住院时间短于对照组,住院费用高于对照组,术后并发症发生率和复发率低于对照组,差异均有统计学意义(P<0.05)。结论相较于传统开放性疝囊高位结扎术,腹腔镜疝囊高位结扎术治疗小儿腹股沟疝在手术时间、术中出血量、住院时间及后续并发症发生率等诸多手术指标上均有明显进步,同时能有效降低患儿术后复发率,值得临床推广应用。
Objective To observe the clinical effect of laparoscopic high ligation of hernia sac in treatment of children with inguinal hernia. Methods 90 cases of children with inguinal hernia were randomly divided into observation group and control group of 45 cases. The observation group were treated with high ligation of laparoscopic hernia sac, while the control group was treated with open ligation of hernia sac. The operation indexes such as intraoperative blood loss, operation time, hospitalization time, hospitalization cost and follow-up complication rate were compared between the two groups. At the same time, the recurrence rates of two groups were calculated. Results The bleeding volume in the observation group was less than that in the control group. The operation time and hospitalization time were shorter than those in the control group. The hospitalization expenses were higher than those in the control group. The postoperative complications and recurrence rate were lower than those in the control group P <0.05). Conclusion Compared with the traditional open hernia sac high ligation, laparoscopic high ligation of hernia sac in children with inguinal hernia in operation time, blood loss, length of stay and follow-up complications, and many other surgical indicators were significantly improved , At the same time can effectively reduce the recurrence rate in children, it is worthy of clinical promotion and application.