[1]万琦文,石英佐,张亦鹏.腹腔镜疝囊高位结扎术与传统开放式疝囊高位结扎术治疗小儿腹股沟疝的疗效及成本比较[J].新乡医学院学报,2017,34(8):745-747.[doi:10.7683/xxyxyxb.2017.08.022]
　WAN Qi-wen,SHI Ying-zuo,ZHANG Yi-peng.Comparison of the effect and cost between laparoscopic high ligation of hernial sac and traditional high ligation of hernial sac in the treatment of children with inguinal hernia[J].Journal of Xinxiang Medical University,2017,34(8):745-747.[doi:10.7683/xxyxyxb.2017.08.022]
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腹腔镜疝囊高位结扎术与传统开放式疝囊高位结扎术治疗小儿腹股沟疝的疗效及成本比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年8
页码:
745-747
栏目:
临床研究
出版日期:
2017-08-05

文章信息/Info

Title:
Comparison of the effect and cost between laparoscopic high ligation of hernial sac and traditional high ligation of hernial sac in the treatment of children with inguinal hernia
作者:
万琦文; 石英佐; 张亦鹏
（无锡市儿童医院儿外科，江苏　无锡　214023）
Author(s):
WAN Qi-wen; SHI Ying-zuo; ZHANG Yi-peng
（Department of Pediatric Surgery，Wuxi Children′s Hospital，Wuxi 214023，Jiangsu Province，China）
关键词:
腹股沟疝; 腹腔镜; 疝囊高位结扎术; 治疗成本; 儿童
Keywords:
inguinal hernia; laparoscopes; high ligation of hernial sac; treatment cost; children
分类号:
R656.2+1
DOI:
10.7683/xxyxyxb.2017.08.022
文献标志码:
A
摘要:
目的　比较腹腔镜疝囊高位结扎术与传统开放式疝囊高位结扎术治疗小儿腹股沟疝的临床疗效及成本。方法　选择2014年1月至2016年3月无锡市儿童医院收治的小儿腹股沟疝患者105例，根据手术方法分为传统手术组（n=53）和腹腔镜手术组（n=52），腹腔镜手术组患者行三孔法腹腔镜下疝囊高位结扎术，传统手术组患者行传统的开放式疝囊高位结扎术，比较2组患者的临床疗效及成本。结果　腹腔镜手术组患者手术时间及术后下床活动时间显著短于传统手术组（P<0.01），术中出血量显著少于传统手术组（P<0.01）。腹腔镜手术组和传统手术组患者并发症发生率分别为5.8%（3/52）、22.6%（12/53），腹腔镜手术组患者并发症发生率显著低于传统手术组（χ2=6.11，P<0.05）。腹腔镜手术组和传统手术组患者复发率分别为0.0%（0/52）、3.8%（2/53），2组患者复发率比较差异无统计学意义（χ2=5.49，P>0.05）。腹腔镜手术组患者发现对侧隐性疝2例，而传统手术组患者未发现对侧隐性疝。腹腔镜手术组患者住院时间显著短于传统手术组（P<0.01），2组患者住院费用比较差异无统计学意义（P>0.05）。结论　腹腔镜疝囊高位结扎术治疗小儿腹股沟疝具有手术时间短、术中出血量少、恢复快、并发症少、住院时间短等优势，且未增加治疗费用成本。
Abstract:
Objective　To compare the clinical effect and cost of laparoscopic high ligation of hernial sac and traditional open high ligation of hernial sac in the treatment of children with inguinal hernia.Methods　A total of 105 children with inguinal hernia were selected from January 2014 to March 2016 in Wuxi Children′s Hospital.The patients were divided into conventional operation group （n=53） and laparoscopic operation group （n=52） according to the operation methods，the patients in the laparoscopic operation group were treated with laparoscopic high ligation of hernial sac，and the patients in the conventional operation group were treated with traditional open high ligation of hernial sac.The clinical effect and cost were compared between the two groups.Results　The operation time and postoperative ambulation time in laparoscopic operation group were significantly shorter than those in conventional operation group （P<0.01），and the intraoperative blood loss in laparoscopic operation group was significantly less than that in conventional operation group （P<0.01）.The incidence of complications in laparoscopic operation group and conventional operation group was 5.8%（3/52） and 22.6%（12/53） respectively，the incidence of complications in laparoscopic operation group was significantly lower than that in conventional operation group （χ2=6.11,P<0.05）.The recurrence rate in laparoscopic operation group and conventional operation group was 0.0%（0/52） and 3.8%（2/53） respectively，there was no significant difference in the recurrence rate between the two groups （χ2=5.49,P>0.05）.Two cases of contralateral recessive hernia were found in the laparoscopic operation group，whereas no contralateral occult hernia was found in the conventional operation group.The hospitalization time in the laparoscopic operation group was significantly shorter than that in the conventional operation group （P<0.01）.There was no significant difference in the cost between the two groups （P>0.05）.Conclusion　Laparoscopic high ligation of hernial sac for inguinal hernia in children has the advantages of shorter operation time，less blood loss，quicker recovery，less complications and shorter hospitalization time，and the cost of treatment is not increased.

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更新日期/Last Update: 2017-08-05