| 黄杰,浦惠民,李新国,等.缝线穿引器辅助单孔腹腔镜治疗小儿腹股沟斜疝 60例疗效分析[J].安徽医药,2022,26(10):1981-1984. |
| 缝线穿引器辅助单孔腹腔镜治疗小儿腹股沟斜疝 60例疗效分析 |
| Efficacy of single-incision laparoscopy with suture guide in indirect inguinal hernia repair in children: an analysis of 60 cases |
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| DOI：10.3969/j.issn.1009-6469.2022.10.017 |
| 中文关键词: 疝，腹股沟 单孔腹腔镜 缝线穿引器 常规腹腔镜 小儿 |
| 英文关键词: Hernia, inguinal Single-incision laparoscopy Suture guide Conventional laparoscopy Children |
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| 摘要点击次数: 911 |
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| 中文摘要: |
| 目的探讨缝线穿引器辅助单孔腹腔镜及常规腹腔镜治疗小儿腹股沟斜疝的临床疗效分析。方法选取 2019年 1月至 2020年 6月于淮南市妇幼保健院小儿外科收治 120例小儿腹股沟斜疝，采用随机数字表法将其分为观察组和对照组，观察组 60例病儿采用缝线穿引器，对照组 60例病儿采用常规腹腔镜治疗，由同一主刀医师采取以上两种不同手术方式治疗小儿腹股沟斜疝；对比手术时间、术中血管损伤情况、手术后复发等。结果观察组 5例术前诊断为双侧， 55例术前诊断为单侧，其中单侧术中发现 24例为双侧鞘状突未闭(或隐性疝)，予以同期处理。对照组 6例术前诊断为双侧， 54例术前诊断为单侧，其中单侧术中发现 26例为双侧鞘状突未闭(或隐性疝)，予以同期处理。所有病人均顺利完成手术。观察组中双侧手术时间为(19.34±2.51)min，对照组中双侧手术时间为(19.25±2.52)min，差异无统计学意义(P>0.05)；观察组中单侧手术时间为(10.42±1.50)min，对照组中单侧手术时间为(10.25±1.21)min，差异无统计学意义( P>0.05)。观察组中输精管血管损伤 0例，对照组输精管血管损伤 6例(10%)，差异有统计学意义(P<0.05)；观察组中精索血管损伤 0例，对照组精索血管损伤 5例(8.3%)，差异有统计学意义(P<0.05)。观察组随访期间无复发，对照组随访期间有 2例复发，差异无统计学意义(P>0.05)。结论单孔腹腔镜下使用缝线穿引器治疗小儿腹股沟斜疝可以达到常规腹腔镜治疗的相同效果，并具有创伤小、不易损伤血管、瘢痕隐蔽等优势，值得临床推广。 |
| 英文摘要: |
| Objective To explore the clinical efficacy of single-incision laparoscopy with suture guide and conventional laparoscopy in the treatment of indirect inguinal hernia in children.Methods Totally 120 cases of pediatric oblique inguinal hernia, who were ad.mitted to Pediatric Surgery Department of Huainan Maternal and Child Health Hospital from January 2019 to June 2020, were chosenand assigned into observation and control groups by random number tables. Sixty children in observation group were treated with single-incision laparoscopy suture guide while the other 60 children in control group were treated with conventional laparoscopy. The treat.ments of indirect inguinal hernia in children by two different methods were performed by the same chief surgeon respectively. A com.parison was made of the time of operation, the condition of vascular injury and the recurrence after operation.Results Five cases were diagnosed as bilateral indirect inguinal hernia before operation and 55 cases unilateral in observation group. Among unilateral cases,24 cases were found to be bilateral patent processus vaginalis (hidden hernia) during the surgery and were treated simultaneously. Sixcases were diagnosed as bilateral indirect inguinal hernia before operation and 54 cases unilateral in control group. Among unilateralcases, 26 cases were found to be bilateral patent processus vaginalis (hidden hernia) during the surgery and were treated simultaneous.ly. All the patients successfully completed the operation. The time of operation for bilateral cases was (19.34±2.51) min in observationgroup and (19.25±2.52) min in control group, respectively. There was no significant difference (P>0.05).The time of operation for unilat.eral cases was (10.42±1.50) min in observation groupand (10.25±1.21) min in control group, respectively. There was no significant dif.ference (P>0.05). No blood vessel injury of spermaductwas found in observation group,but 6 (10%) cases of blood vessel injury of sper.mduct were found in control group; the difference was statistically significant (P<0.05). No vascular injury of spermatic cord was foundin observation group while 5 (8.3%) cases of spermatic cord vascular injury were found in control group; the difference was statisticallysignificant (P<0.05). During follow-up,there was no recurrence in observation group,but there were 2 cases of recurrence in controlgroup; No difference was found to be statistically significant (P>0.05).Conclusion Single-incision laparoscopy with suture guide can |
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