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小儿腹股沟斜疝腹腔镜与开放手术的对比研究 被引量:18

Clinical study of the laparoscopic and traditional operation for children's indirect inguinal hernia
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摘要 目的探讨小儿腹股沟斜疝腹腔镜手术的临床应用价值。方法完成微型腹腔镜下小儿腹股沟斜疝结扎术82例,同期行开放手术的小儿腹股沟斜疝88例,将其临床资料进行对比分析。结果对两组间的手术时间、术中出血、术后并发症(阴囊血肿、感染等)、住院天数及住院费用等进行统计分析,显示两组间差异均有显著性(P<0.05)。随访2年显示腹腔镜组出现线结反应1例,无疝复发。对照组复发3例。两组差异无显著意义(P>0.05)。结论该研究显示小儿腹股沟斜疝腹腔镜手术具有微创特点,优于传统手术,可广泛推广应用。 [Objective] To explore the clinical value of the laparoscopic operation for children's indirect inguinal hernia. [Methods] 82 children with indirect inguinal hernia were performed laparoscopic operation, 88 cases were done with traditional operation at the same time. Their clinical data was summarized, contrasted and analyzed respectively. [Results] There were statistically significant differences in the operative time, bleeding volume, peri-operative complications, hospitalize stay and cost between the laparoscopic group and the traditional group (P 〈0.05). Follow-up showed that there was a case with switch response and no hernia red recurrence in the laparoscopic group and there were 3 cases with hernia red recurrence in the traditional group. [Conclusion] The study showed the laparoscopic operation for children's indirect inguinal hernia has been proved to be more effective and minimal invasive than traditional method and deserves to be popularized widely.
出处 《中国内镜杂志》 CSCD 北大核心 2007年第7期749-750,758,共3页 China Journal of Endoscopy
关键词 小儿 腹股沟斜疝 腹腔镜 child indirect inguinal hernia laparoseope
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