罗元胜 肖志华



传统手术与微创手术治疗小儿疝气的临床价值分析

罗元胜 肖志华

【摘要】目的 对比分析传统手术和微创手术治疗小儿疝气的临床效果。方法 选取2015年6～12月在我院就诊的小儿疝气患者60例，将60例患者根据入院编号奇偶性分为2组，观察组患者采用新式微创手术进行治疗，对照组采用传统的手术进行治疗，对两组患者的手术时间、术中出血量、术后自主活动恢复时间以及住院时间长短、并发症等数据进行比较，判定两组术后的治疗效果。结果 观察组患儿的手术时间、术后自主活动恢复时间以及住院时间分别为（12.6±4.3）min、（105.6±9.5）min和（1.6±0.3）d，手术过程中的出血量为（1.36± 0.51）ml，上述各项数据指标均优于对照组（21.5±5.4）min、（165.6±15.0）min，（5.5±1.0）d，（5.12±0.67）ml，差异具有统计学意义（P ＜0.05）；对照组患儿并发症发生率为23.3%，观察组患儿并发症发生率为6.7%，组间比较差异具有统计学意义（P＜0.05）。结论 微创手术相对于传统手术更适合应用于小儿疝气治疗，其疗效更好，患者恢复时间更短，并发症少。

【关键词】传统手术；微创手术；小儿疝气

Objective To analyze the clinical effect of traditional surgery and minimally invasive surgery in treatment of pediatric hernia. Methods 60 pediatric hernia patients in our hospital from June to December 2015 were divided into two groups according to figures number. The observation group were treated with the new minimally invasive surgical treatment，the control group were treated with the traditional surgical treatment. After treatment，operative time，blood loss，postoperative recovery time of spontaneous activity and length of hospital stay，complications and other data of both groups of patients were compared. Results Operative time，postoperative recovery time as well as the independent activities of hospital stay in observation group was（12.6±4.3）min，（105.6± 9.5）min and（1.6±0.3）days，the amount of bleeding during surgery were（1.36±0.51）ml，the data indicators above were all better than that of control group（21.5±5.4）min，（165.6±15.0）min，（5.5±1.0）days，（5.12±0.67）ml，the difference was statistically significant（P＜0.05）. Complication rate in the control group was 23.3%，occurrence of complications in the observation group were 2 cases，complications rate was 6.7%，the difference between groups was statistically significant（P＜ 0.05）. Conclusion Minimally invasive surgery compared to traditional hernia surgery is more suitable in the treatment of children，has better efficacy，shorter patients'recovery time，fewer complications.

【Key words】 Traditional surgery，Minimally invasive surgery，Pediatric hernia

小儿腹股沟疝是普外科常见疾病之一 ，是由于先天性鞘状突未闭，造成婴儿出生之后，小儿腹腔内小肠、输卵管、卵巢和网膜进入腹膜鞘状突所形成的疾患［1］。小儿疝气的发生率为0.8%～4.4%，在男孩中的发病比例更高［2］。为了寻找一种有效的治疗小儿疝气的手术方法，我院以60例小儿疝气患者为研究对象，其中采用新型微创手术治疗的患儿取得了较好的效果，现报道如下。

1　资料与方法

1.1一般资料

选取2015年6～12月在我院就诊的小儿疝气患者60例，均为腹股沟斜疝患者。……