傳統手術與微創手術治療小兒疝氣的臨床效果比較

陽歷

[摘要] 目的 觀察對比傳統手術與微創手術治療小兒疝氣的臨床療效。方法 整群選取該院2014年3月—2015年3月間兒科門診收治的62例小兒疝氣患兒，采用隨機數字表法分為觀察組與對照組，每組31例，觀察組患兒給予微創手術治療，對照組患兒給予傳統手術治療，對比觀察兩組患兒治療的臨床療效及并發癥。結果 觀察組患兒手術時間以及住院時間均短于對照組，同時觀察患兒術中出血量也少于對照組，兩組患兒對比差異有統計學意義（P<0.05）；觀察組患兒并發癥的總發生率為6.45%，對照組為22.58%，觀察組明顯低于對照組，兩組患兒對比差異有統計學意義（P<0.05）。結論 小兒疝氣應用微創手術治療臨床療效確切，且手術時間較短，出血量與并發癥較少，恢復較快，值得臨床廣泛推廣及應用。

[關鍵詞] 小兒疝氣；微創手術治療；傳統手術治療；臨床療效

[中圖分類號] R59 [文獻標識碼] A [文章編號] 1674-0742（2015）05（a）-0044-02

Traditional Surgery and Minimally Invasive Surgical Treatment of Pediatric Hernia Compare the Clinical Effects

YANG Li

Derpartment of General Surgery，Jili Hospitai of Liuyang City，Liuyang，Hunan Province，410300 China

[Abstract] Objective To observe the clinical curative effect of the contrast of traditional operation and minimally invasive operation in treatment of infantile hernia. Methods 62 cases of infantile hernia were selected in our hospital in 2014 March ～2015 year in March admitted to the outpatient department of Pediatrics， were randomly divided into observation group and control group， 31 cases in each group， the observation group were given minimally invasive operation treatment， the control group were given conventional treatment comparison operation， clinical effect and complications of treatment in the two groups were observed the. Results The observation group with operation time and hospitalization time were shorter than the control group， and observed the amount of intraoperative bleeding is less than that of the control group， the difference of two groups were compared significantly （P<0.05）， the difference was statistically significant； the observation group with the overall complication rate was 6.45%， 22.58% in the control group， the observation group was significantly lower than that of the control group， the difference of two groups were compared significantly （P<0.05）， there is statistical significance. Conclusion Children colic application of minimally invasive operation treatment and the exact clinical curative effect， short operation time， amount of bleeding and fewer complications， faster recovery， and worthy of extensive promotion and clinical application.

[Key words] Children colic； Minimally invasive operation in the treatment of traditional operation therapy； Clinical curative effect

小兒疝氣在外科臨床上極為常見，主要包括腹股溝直疝以及腹股溝斜疝等[1]。據相關研究表明，小兒疝氣治療的方法主要為手術治療，由于小兒體質特殊，且傳統手術治療的方式主要以腹股溝韌帶作斜切口，因此手術時間長、創傷較大、切口長以及易復較高，已不被臨床醫學所接受[2]。隨著微創技術的不斷發展，微創手術治療小兒疝氣得以實現。該研究選取2014年3月—2015年3月間該院收治的小兒疝氣患兒62例為研究對象，對傳統手術與微創手術治療小兒疝氣進行對比分析，且取得滿意的效果，現將具體結果報道如下。

1 資料與方法

1.1 一般資料

選取該院兒科門診收治的小兒疝氣患兒62例作為研究對象，所有患兒均通過臨床癥狀診斷標準確診，且該次研究已獲得該院倫理委員會批準，同時取得患兒家屬同意。采用隨機數字表法分為觀察組與對照組，每組31例，觀察組男性患兒17例，女性患兒14例，年齡2～11歲，平均年齡（6.3±0.2）歲，疝氣類型：腹股溝斜疝19例，腹股溝直疝12例。……