【摘要】 目的探讨单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果。方法回顾性分析2018年8月—2019年6月在该院收治的120例男性小儿腹股沟斜疝患儿作为研究对象,结合不同手术方式将其分成对照组和观察组,每组60例。观察对比两组患儿在手术过程中的手术时间、出血量、切口长度、首次排气时间、首次自主活动时间、住院时间以及隐匿疝的发现情况;治疗后6个月分别对两组患儿进行随访,随访内容主要包括阴囊肿胀、尿潴留、切口并发症、鞘膜积液以及疝气的复发率。结果观察组使用单孔腹腔镜手术中其手术时间、手术切口、首次排气时间、术中出血量、住院时间与对照组传统手术方式相比均优越,差异有统计学意义(P<0.05);对照组患儿经传统手术治疗后其发生尿潴留、鞘膜积液、瘢痕切口、阴囊肿胀的发生率占41.67%均高于观察组的总发生率3.33%,差异有统计学意义(χ~2=25.281,P<0.05)。结论小儿腹股沟斜疝采用单孔腹腔镜疝囊高位结扎术的治疗效果较为显著,且具有创伤小、恢复快、安全性高等优势。更多还原

【Abstract】 Objective To investigate the clinical effect of single port laparoscopic high ligation of the hernia sac in the treatment of chil-dren with indirect inguinal hernia. Methods A retrospective analysis of 120 male pediatric indirect inguinal hernia patients admitted to the hospital from August 2018 to June 2019 was used as the research object. Combined with different surgical methods, they were di-vided into a control group and an observation group, 60 cases per group. To observe and compare the operation time, blood loss, inci-sion length, first exhaust time, first voluntary activity time, hospitalization time, and the discovery of occult hernias during the opera-tion of the two groups of children; Follow-up contents of the follow-up mainly include scrotal swelling, urinary retention, incision complications, hydrocele, and hernia recurrence rate. Results In the observation group using single port laparoscopic surgery, the oper-ation time, surgical incision, first exhaust time, intraoperative blood loss, and hospital stay were superior to those in the control group,and the difference was statistically significant(P <0.05); the incidence of urinary retention, hydrocele, scar incision, and scrotum swelling in the control group after traditional surgical treatment accounted for 41.67%, which were higher than the observation group’s total incidence of 3.33%, and the difference was statistically significant(χ~2=25.281, P<0.05). Conclusion The treatment effect of pediatric indirect inguinal hernia with single port laparoscopic high sac ligation is more significant, and it has the advantages of less trau-ma, fast recovery and high safety.更多还原