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目的分析不同术式在小儿疝气中的临床应用。方法 180例疝气患儿分别采用传统开放手术57例(A组)、小切口微创手术63例(B组)和腹腔镜手术60例(C组)。观察三组术中出血、手术时间、住院时间、术后并发症等情况。结果与B、C组比较,A组术中出血量多,手术时间长,住院时间长,切口长度长(P<0.01)。C组手术耗时长于B组(P<0.05)。三组患儿切口均无感染。A组术后阴囊水肿发生率高于B组和C组(15.8%vs.7.9%和3.3%)(P<0.05),且B组高于C组(P<0.05)。结论不同术式各有优缺点,在条件许可的情况下建议优先选择腹腔镜手术,次之小切口微创治疗。
Objective To analyze the clinical application of different surgical procedures in pediatric hernia. Methods 180 cases of hernia children were treated with conventional open surgery in 57 cases (group A), small incision minimally invasive surgery in 63 cases (group B) and laparoscopic surgery in 60 cases (group C). The three groups were observed intraoperative bleeding, operation time, hospital stay, postoperative complications and so on. Results Compared with groups B and C, group A had more intraoperative blood loss, longer operation time, longer hospital stay and longer incision length (P <0.01). The operation time in group C was longer than that in group B (P <0.05). Three groups of children incision no infection. The incidence of postoperative scrotal edema in group A was significantly higher than that in group B and C (15.8% vs.7.9% vs 3.3%, P <0.05), and in group B was higher than that in group C (P <0.05). Conclusions Different surgical procedures have their own advantages and disadvantages, and if the conditions permit, laparoscopic surgery is preferred, followed by minimally invasive surgery.