引用本文:刘如意,徐 科,张现伟.腹横纹小切口手术治疗小儿腹股沟疝的疗效观察[J].中国临床新医学,2019,12(2):204-206.
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腹横纹小切口手术治疗小儿腹股沟疝的疗效观察
刘如意,徐 科,张现伟
475000 河南,郑州大学附属儿童医院、河南省儿童医院普通外科二病区
摘要:
[摘要] 目的 观察腹横纹小切口手术治疗小儿腹股沟疝的疗效。方法 选取该院104例腹股沟斜疝患儿为研究对象,采用随机数字表法分为腹横纹小切口组(观察组,n=52)和传统手术组(对照组,n=52)。比较两组手术时间、术中出血量、切口长度、切口愈合时间情况,比较两组术后1 d、3 d的疼痛情况[儿童疼痛行为量表(FLACC)]和术后6个月内并发症(组织水肿、感染)、复发情况。结果 观察组术中出血量、手术时间、切口长度和切口愈合时间均低于对照组(P<0.05)。观察组术后1 d FLACC评分低于对照组(P<0.05);两组术后3 d FLACC评分均低于术后1 d(P<0.05),且观察组低于对照组(P<0.05)。术后6个月内,观察组相关并发症发生率和复发率均低于对照组(P<0.05)。结论 腹横纹小切口手术治疗小儿腹股沟斜疝疗效较好,也可降低腹股沟疝复发率,利于患儿预后恢复。
关键词:  腹股沟斜疝  小切口  手术治疗  疗效观察
DOI:10.3969/j.issn.1674-3806.2019.02.23
分类号:R 656.2
基金项目:
Observation of curative effect of abdominal transverse cleavage line small incision on oblique inguinal hernia in children
LIU Ru-yi, XU Ke, ZHANG Xian-wei
The Second Department of General Surgery, Children′s Hospital Affiliated of Zhengzhou University, Henan 475000, China
Abstract:
[Abstract] Objective To study the curative effect of abdominal transverse cleavage line small incision on oblique inguinal hernia in children. Methods One hundred and four children with oblique inguinal hernia in our hospital were selected as the research subjects. They were randomly divided into the abdominal transverse small incision group(observation group, n=52) and the traditional operation group(control group, n=52). The operative time, intraoperative blood loss, incision length and healing time were compared between the two groups. The pain scores 1 and 3 days after operation[Child Pain Behavior Scale(FLACC)] and postoperative complications 6 months after operation(tissue edema, infection) and recurrence rates were compared between the two groups. Results The amount of bleeding, operation time, length of incision and the healing time in the observation group were shorter than those in the control group(P<0.05). The FLACC scores 1 day after operation in the observation group were lower than those in the control group(P<0.05). The FLACC scores in the two groups 3 days after operation were lower than those 1 day after treatment(P<0.05), and the FLACC scores of the observation group were lower than those of the control group(P<0.05). The incidence rate of complications and the recurrence rate in the observation group were lower than those in the control group(P<0.05) 6 months after operation. Conclusion Abdominal transverse cleavage line small incision has a better curative effect on oblique inguinal hernia in children. It can reduce the recurrence rate and improve the prognosis.
Key words:  Oblique inguinal hernia  Small incision  Surgical treatment  Observation of curative effect