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目的观察小儿腹股沟疝采用腹横纹下小切口的临床疗效。方法随机抽取我院2013年3月~2015年8月收治并确诊为腹股沟疝的82例患儿作为此次观察对象,所有患儿均采用疝囊高位结扎术治疗,按手术切口的不同分为常规组与实验组各41例,分别采用临床传统手术切口与腹横纹下小切口进行手术,观察不同手术切口对患儿临床疗效的影响。结果常规组患儿在手术进行时间、术中出血量及术切口长度上均落后于实验组患儿;常规组患儿在术后住院时间、疼痛程度评分及止痛药物使用次数上同样不及实验组;术后随访发现,常规组17.07%并发症发生率及4.88%的复发率明显高于实验组患儿,以上差异经统计学处理均显示有意义(P<0.05)。结论小儿腹股沟疝应用腹横纹下小切口,疤痕小,美观性强,对患儿创伤较小,大大降低术后并发症及复发率,有助于疾病恢复,是值得推广应用的良方。
Objective To observe the clinical curative effect of small incision on abdominal inguinal hernia in children with inguinal hernia. Methods Eighty-two children with inguinal hernia admitted to our hospital from March 2013 to August 2015 were randomly selected for this observation. All children were treated with high ligation of the hernia sac. According to the different incision The conventional and experimental groups of 41 cases, respectively, the use of traditional surgical incision and abdominal abdomen small incision surgery to observe the effect of different surgical incision on the clinical efficacy of children. Results The children in the routine group lagged behind those in the experimental group at the time of operation, the volume of blood loss and the length of incision. The average length of hospital stay, the pain score and the number of analgesic drugs in the routine group were also lower than those in the experimental group The postoperative follow-up found that the incidence of 17.07% complication and 4.88% recurrent rate in the routine group were significantly higher than those in the experimental group. The above differences were statistically significant (P <0.05). Conclusions The inguinal hernia in children with small abdominal incision, small scars, beautiful appearance, small trauma to children, greatly reducing the postoperative complications and recurrence rate, is conducive to the recovery of the disease, is worth promoting the application of prescription.