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目的探讨微小切口经腹腔内疝囊高位结扎手术治疗小儿腹股沟斜疝的临床疗效。方法将小儿腹股沟斜疝110例患儿随机分为两组,对照组行常规经腹股沟疝囊高位结扎手术45例,观察组行微小切口经腹腔内疝囊高位结扎手术65例,比较两组患者的手术切口长度、住院时间、术后瘢痕率、阴囊肿胀率及复发率。结果观察组患者手术切口长度显著短于对照组,且住院时间显著缩短,差异有统计学意义(t=15.9372、11.5088,P均<0.01);观察组患者术后瘢痕率、阴囊肿胀率及复发率均显著低于对照组(P<0.01)。结论微小切口经腹腔内疝囊高位结扎手术治疗小儿腹股沟斜疝的疗效确切。
Objective To investigate the clinical effect of micro incision and lumbar intra-abdominal hernia sac ligation in children with inguinal hernia. Methods One hundred and ten cases of children with inguinal hernia were randomly divided into two groups. The control group received routine high ligation of inguinal hernias in 45 cases. The observation group received 65 cases of micro-incision ligation of high ligation of the intra-abdominal hernia sac. The length of incision, hospital stay, postoperative scar rate, scrotal swelling rate and recurrence rate. Results The length of surgical incision in the observation group was significantly shorter than that in the control group, and the hospitalization time was significantly shortened (t = 15.9372,11.5088, P <0.01). The postoperative scar ratio, scrotal swelling rate and recurrence The rates were significantly lower than the control group (P <0.01). Conclusion Micro-incision lumbar intra-abdominal hernia sac ligation surgery for treatment of children with indirect inguinal hernia curative effect is exact.