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目的探讨腹横纹小切口手术治疗小儿腹股沟疝的临床疗效及可行性。方法选取2015年1月—2016年1月宁都县东韶卫生院收治的确诊为腹股沟疝的患儿86例,随机将患儿分为对照组与观察组,各43例。对照组患儿行传统手术治疗,观察组患儿行腹横纹小切口手术治疗。比较两组患儿临床指标(术中出血量、手术时间、住院时间、自主活动时间)、临床疗效、生活质量评分及并发症发生情况。结果观察组患儿术中出血量少于对照组,手术时间、住院时间、自主活动时间短于对照组,差异有统计学意义(P<0.05)。观察组患儿总有效率高于对照组,差异有统计学意义(P<0.05)。观察组患儿生理功能、总体健康、躯体疼痛、生理职能、精神健康、情感职能、社会能力评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论腹横纹小切口手术治疗小儿腹股沟疝的临床疗效确切,手术创伤小、出血量少、手术时间短,可提高患儿生活质量。
Objective To investigate the clinical effect and feasibility of abdominal ventral small incision in the treatment of infantile inguinal hernia. Methods Totally 86 children diagnosed as inguinal hernia admitted from Dongshao Hospital of Ningdu County from January 2015 to January 2016 were randomly divided into control group and observation group, with 43 cases in each group. The control group of children underwent traditional surgical treatment, the observation group of children underwent abdominal transverse incision surgery. The clinical indicators (intraoperative blood loss, operation time, hospital stay, voluntary activity time), clinical efficacy, quality of life score and complications were compared between the two groups. Results The bleeding volume in observation group was less than that in control group. The operation time, hospitalization time and voluntary activity time were shorter than those in control group. The difference was statistically significant (P <0.05). The total effective rate in observation group was higher than that in control group, the difference was statistically significant (P <0.05). Children in the observation group had higher scores of physical function, general health, physical pain, physical function, mental health, emotional function and social ability than those of the control group (P <0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P <0.05). Conclusion The operation of abdominal incision with small incision in children with inguinal hernia has definite curative effect, less operation trauma, less bleeding and shorter operation time, which can improve children’s quality of life.