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腹横纹小切口手术治疗小儿腹股沟疝疗效及可行性评价

发布时间:2016-8-4      来源:admin      阅读次数:447

靳军

(随州市妇幼保健院 儿外科 441300)

摘要 目的:探讨分析腹横纹小切口手术治疗小儿腹股沟疝的临床疗效及可行性。方法:对2013年1月-2014年1月我院收治的80例小儿腹股沟疝患者的临床资料进行回顾性调查分析,按照手术方式不同,随机分成两组,每组40例。对照组:传统手术;观察组:腹横纹小切口手术,对比分析两组患者的临床效果。结果:对照组患儿术中出血量10.5±1.6ml,切口长度为3.5±0.2cm,手术时间为45.23±4.56min,自主活动时间22.5±1.5h,有5例患者出现阴囊血肿,并发症发生率12.5%;观察组患儿术中出血量5.8±0.6ml,切口长度为2.1±0.2cm,手术时间为21.43±2.34min,自主活动时间13.6±1.1h,并发症发生率0%;两组各指标数据对比,差异显著,具有统计学意义,P<0.05。结论:腹横纹小切口手术治疗小儿腹股沟疝临床效果确切,值得广泛推广。

关键词 小儿腹股沟疝 腹横纹小切口

 

The evaluation of Efficacy and Feasibility of Abdominal Transverse Cleavage Line Small Incision Surgery in Treating the Infant Hernia

Abstract Objective To study the effect and feasibility of abdominal transverse cleavage line small incision surgery for treatment of inguinal hernia in children.Methods 80 cases of Infant hernia from January 2013 to January 2014 in our hospital were made a retrospectively investigative analysis and divided into experimental group(40 cases ) treated by abdominal transverse cleavage line small incision surgery and control group (40 cases ) under traditional surgery randomly.Compare and analyze the clinical effect of two groups.Results In control group, the patients’ blood loss was 10.5±1.6ml,the incision length was 3.5±0.2cm,the operation time was 45.23±4.56min,and the  autonomic activity time was 22.5±1.5h,5 cases of scrotum hematoma occurred and the complication rate was 12.5%.While the patients’ blood loss was 5.8±0.6ml,the incision length was 2.1±0.2cm,the operation time was 21.43±2.34min,and the autonomic activity time was 13.6±1.1h with the complication rate was 0% in the other. All the datas showed statistically significance(P<0.05). Conclusion The abdominal transverse cleavage line small incision surgery in infant hernia had effective clinical results,which is worthy of popularization and wide use.  

Key words: Children inguinal hernia; Abdominal Transverse Cleavage Line Small Incision Surgery

 

    小儿腹股沟疝是儿科临床常见病。小儿出生后因咳嗽、哭闹便秘等导致腹内压力升高,使小肠、网膜、输卵管、卵巢等进入腹膜鞘突之内形成疝气[1]。传统观疝气手术采用腹股沟韧带平行处取斜切口,手术耗时较长,手术切口大,创伤较

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