方人杰 张华

【摘要】 目的：分析腹横纹小切口手术及传统疝修补术治疗小儿疝气的方法及效果，为临床治疗小儿疝气提供参考。方法：选取2017年8月-2018年8月笔者所在医院收治的90例小儿疝气患儿作为本次研究对象，采用随机数字表法进行分组，分为试验组和对照组，每组45例。试验组采用腹横纹小切口手术治疗，对照组采用传统疝修补术治疗。对比两组手术时间、住院时间、术中出血量及术后并发症发生率。结果：试验组手术时间、住院时间均显著短于对照组，术中出血量明显少于对照组，差异均有统计学意义（P<0.05）。试验组并发症发生率低于对照组，差异有统计学意义（P<0.05）。结论：小儿疝气患儿采用腹横纹小切口手术治疗的效果比传统疝修补术的效果更为显著，更加有利于患儿术后的恢复，并发症更少，值得临床推广。

【关键词】 腹横纹小切口手术 传统疝修补术 小儿疝气

doi：10.14033/j.cnki.cfmr.2019.30.058 文献标识码 B 文章编号 1674-6805（2019）30-0-02

[Abstract] Objective： To analyze the method and effect of small incision surgery for abdominal transverse striation and traditional herniorrhaphy on pediatric hernia， andprovided reference for clinical treatment of pediatric hernia. Method： A total of 90 children with pediatric hernia who were admitted in our hospital from August 2017 to August 2018 were selected as the subjects of this study， and randomly divided into the experimental group and the control group， 45 cases in each group. The experimental group was treated with small incisionsurgery for abdominal transverse striation， while the control group was treated with traditional herniorrhaphy. The operation time， hospitalization time， intraoperative blood loss and incidence of postoperative complications were compared between the two groups. Result： The operation time and hospitalization time of the experimental group were significantly shorter than those of the control group， and the intraoperative blood loss of the experimental group was significantly less than that of the control group， and the differences were statistically significant （P<0.05）. The incidence of complications in the experimental group was lower than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion： Compared with traditional herniorrhaphy， the effect of small incisionsurgery for abdominal transverse striation in children with pediatric hernia is more significant， which is more conducive to the postoperative recovery of children， and has fewer complications. Therefore， it is worthy of clinical promotion.

[Key words] Small incisionsurgery for abdominal transverse striation Traditional herniorrhaphy Pediatric hernia

First-authors address： Songzi Hospital of Traditional Chinese Medicine， Songzi 434200， China

小兒疝气是一种临床常见的多发于小儿腹股沟的疾病，多由先天发育异常所致，具有较高的发病率，在体重低的小儿和早产儿中尤为常见[1]。随着年龄的增长，疝囊不断变大，严重者可导致卵巢或睾丸萎缩、梗阻[2-3]。目前，针对小儿疝气最有效的临床治疗方式是进行外科手术，主要手术方式包括腹横纹小切口手术和传统疝修补术两种。腹横纹小切口手术是一种随着医疗技术进步而产生的微创手术，可减少术中出血量，加快患者术后恢复速度，具有创伤小、安全性高等优势[4]。传统疝修补术对患者造成的创伤大，术后恢复慢，安全性较低。为分析腹横纹小切口手术及传统疝修补术对小儿疝气的治疗效果，选取2017年8月-2018年8月笔者所在医院收治的90例小儿疝气患儿作为本次研究对象，将结果报道如下。……