小儿疝气运用传统手术和腔镜下手术治疗的临床价值探讨(1)
【摘要】 目的：分析传统手术及腔镜下手术对小儿疝气的临床治疗价值。方法：选取2017年5月-2018年5月在笔者所在医院就医的90例疝气患儿，根据手术方式不同分为两组，每组45例。研究组以腔镜作为辅助开展微创手术治疗，对照组接受传统手术治疗，对比两组手术基本情况、术后并发症发生率及复发率。结果：研究组手术切口小于对照组，手术时长、下床用时、住院用时均短于对照组，差异均有统计学意义(P<0.05);研究组并发症发生率为4.44%，低于对照组的17.78%，差异有统计学意义(P<0.05);研究组复发率为2.22%，对照组为11.11%，两组比较差异无统计学意义(P>0.05)。结论：腔镜下手术治疗小儿疝气效果显著，预后好，安全性高，值得推广应用。
【关键词】 小儿疝气 腔镜下手术 传统手术 并发症
doi：10.14033/j.cnki.cfmr.2020.18.014 文献标识码 B 文章编号 1674-6805(2020)18-00-03
The Clinical Value of Traditional Surgery and Endoscopic Surgery in Treatment of Hernia in Children/QIU Junran. //Chinese and Foreign Medical Research， 2020， 18(18)： -34
[Abstract] Objective： To analyze the clinical value of traditional surgery and endoscopic surgery in treatment of pediatric hernia. Method： Ninety children with hernia who were hospitalized in the author’s hospital from May 2017 to May 2018 were selected， according to different surgical methods， the patients were divided into two groups， with 45 patients in each group. The study group received minimally invasive surgery assisted by endoscopy， while the control group received conventional surgery. The basic operation situation， postoperative complication rate and recurrence rate of the two groups were compared. Result： The surgical incision in the study group was smaller than that in the control group， and the duration of operation， time of getting out of bed， and time of hospitalization were shorter than those in the control group， the differences were statistically significant (P<0.05). The complication rate in the study group was 4.44%， lower than that in the control group (17.78%)， the difference was statistically significant (P<0.05). The recurrence rate was 2.22% in the study group and 11.11% in the control group， and there was no statistically significant difference between the two groups (P>0.05). Conclusion： Endoscopic surgery for children with hernia is superior to traditional surgery in overall rehabilitation effect， with better prognosis and higher safety in application.
[Key words] Pediatric hernia Endoscopic surgery Traditional surgery Complications
First-author’s address： The Second People’s Hospital of Shanwei， Shanwei 516600， China
小兒疝气属于外科多发小儿疾病，导致该病发生的原因主要为先天因素，如低体重、早产等原因导致发育不完全，鞘状突、脐环等未能正常缩小、关闭。该疾病根据不同病因可分为腹股沟疝、脐疝。患儿年龄低于1岁时腹股沟疝可能实现自愈，超出这一时间段可择期手术治疗;而若脐疝年龄逐步增长至4岁，或发现脐环直径在2～3 cm，通常也需接受临床治疗[1]。疝气在男童中发生率较高，对小儿的正常发育有一定影响，需通过手术疗法解除疝气。以往采用的传统手术方法虽可获得较好改善作用，但因患儿耐受力较低，手术切口相对较大，导致患儿发生术后并发症的概率较高[2]。为降低手术对患儿的损伤，有研究提出采取腹腔镜作为辅助工具展开微创治疗，以此减轻术中出血，降低手术创伤性，促进患儿病情康复[3]。为进一步探讨小儿疝气有效治疗术式，本文就传统手术、腔镜下手术对该病的临床治疗价值展开分析，具体如下。, 百拇医药(邱俊然)
【关键词】 小儿疝气 腔镜下手术 传统手术 并发症
doi：10.14033/j.cnki.cfmr.2020.18.014 文献标识码 B 文章编号 1674-6805(2020)18-00-03
The Clinical Value of Traditional Surgery and Endoscopic Surgery in Treatment of Hernia in Children/QIU Junran. //Chinese and Foreign Medical Research， 2020， 18(18)： -34
[Abstract] Objective： To analyze the clinical value of traditional surgery and endoscopic surgery in treatment of pediatric hernia. Method： Ninety children with hernia who were hospitalized in the author’s hospital from May 2017 to May 2018 were selected， according to different surgical methods， the patients were divided into two groups， with 45 patients in each group. The study group received minimally invasive surgery assisted by endoscopy， while the control group received conventional surgery. The basic operation situation， postoperative complication rate and recurrence rate of the two groups were compared. Result： The surgical incision in the study group was smaller than that in the control group， and the duration of operation， time of getting out of bed， and time of hospitalization were shorter than those in the control group， the differences were statistically significant (P<0.05). The complication rate in the study group was 4.44%， lower than that in the control group (17.78%)， the difference was statistically significant (P<0.05). The recurrence rate was 2.22% in the study group and 11.11% in the control group， and there was no statistically significant difference between the two groups (P>0.05). Conclusion： Endoscopic surgery for children with hernia is superior to traditional surgery in overall rehabilitation effect， with better prognosis and higher safety in application.
[Key words] Pediatric hernia Endoscopic surgery Traditional surgery Complications
First-author’s address： The Second People’s Hospital of Shanwei， Shanwei 516600， China
小兒疝气属于外科多发小儿疾病，导致该病发生的原因主要为先天因素，如低体重、早产等原因导致发育不完全，鞘状突、脐环等未能正常缩小、关闭。该疾病根据不同病因可分为腹股沟疝、脐疝。患儿年龄低于1岁时腹股沟疝可能实现自愈，超出这一时间段可择期手术治疗;而若脐疝年龄逐步增长至4岁，或发现脐环直径在2～3 cm，通常也需接受临床治疗[1]。疝气在男童中发生率较高，对小儿的正常发育有一定影响，需通过手术疗法解除疝气。以往采用的传统手术方法虽可获得较好改善作用，但因患儿耐受力较低，手术切口相对较大，导致患儿发生术后并发症的概率较高[2]。为降低手术对患儿的损伤，有研究提出采取腹腔镜作为辅助工具展开微创治疗，以此减轻术中出血，降低手术创伤性，促进患儿病情康复[3]。为进一步探讨小儿疝气有效治疗术式，本文就传统手术、腔镜下手术对该病的临床治疗价值展开分析，具体如下。, 百拇医药(邱俊然)