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目的探究单孔法腹腔镜手术对儿童腹股沟斜疝的治疗效果。方法 60例腹股沟斜疝儿童,按照随机数字表法分为A、B两组,各30例。其中A组进行腹股沟疝囊高位结扎术,B组使用单孔法腹腔镜手术进行治疗。对比两组患者治疗效果、手术一般情况以及不良反应发生情况。结果两组治疗总有效率均为100%,对比差异无统计学意义(P>0.05)。B组手术时间为(21.48±5.47)min、术中出血量为(1.84±0.24)ml,住院时间为(1.89±0.62)d,均优于A组的(41.24±8.54)min、(2.25±0.21)ml、(2.26±0.63)d,差异具有统计学意义(P<0.05)。所有患者中均无不良反应。结论对腹股沟斜疝患儿使用单孔法腹腔镜手术进行治疗患者手术时间更短,术中出血量更小且有利于患儿恢复,安全性较高,可进行临床推广。
Objective To investigate the therapeutic effect of single hole laparoscopic surgery on children with indirect inguinal hernia. Methods Sixty children with inguinal hernia were divided into A group and B group according to the random number table method, with 30 cases in each group. A group of high inguinal hernia sac ligation, B group using single hole laparoscopic surgery for treatment. Compare the treatment effect of two groups of patients, the general condition of operation and the occurrence of adverse reactions. Results The total effective rate of both groups was 100%, the difference was not statistically significant (P> 0.05). In group B, the operation time was (21.48 ± 5.47) min, the bleeding volume was (1.84 ± 0.24) ml and the hospitalization time was (1.89 ± 0.62) d in group B, which was significantly higher than that in group A (41.24 ± 8.54) min and (2.25 ± 0.21) ml, (2.26 ± 0.63) d, the difference was statistically significant (P <0.05). No adverse reactions in all patients. Conclusion The treatment of patients with inguinal hernia by single hole laparoscopic surgery shorter operation time, less blood loss and is conducive to the recovery of children with high safety, and can be clinically promoted.