论文部分内容阅读
目的探讨腹腔镜下腹横筋膜织网修补术对治疗缺损较大的儿童腹股沟疝的可行性。方法回顾性分析2009年10月至2012年8月,广东省高州市第二人民医院在腹腔镜下对缺损较大儿童腹股沟斜疝施行腹横筋膜织网修补+高位结扎术(观察组)92例,同期施行腹腔镜下单纯疝囊高位结扎术作为对照(对照组)89例,比较二者在手术时间、镇痛药使用、术后住院时间、住院费用、术后复发等方面有无差异。结果在镇痛药使用、术后住院时间等方面,二组差异无统计学意义。手术时间观察组较对照组稍长,差异有统计学意义(t=9.88,P<0.001);住院费用观察组多于对照组,差异有统计学意义(t=3.24,P<0.01);术后复发率观察组少于对照组,差异有统计学意义(P=0.027)。结论腹腔镜下治疗缺损较大的儿童腹股沟斜疝,腹横筋膜织网修补+疝囊高位结扎术在预防手术后复发方面,明显优于单纯疝囊高位结扎术。
Objective To investigate the feasibility of laparoscopic abdominal fascia repair in treating children with inguinal hernia. Methods Retrospective analysis from October 2009 to August 2012, the Second People’s Hospital of Gaozhou City, Guangdong Province underwent laparoscopic inguinal hernia repair of abdominal transversa-fascia mesh repair + high ligation (observation group) 92 Cases, the same period the implementation of simple high-laparoscopic ligation of hernia sac as control (control group) 89 cases, both in the operation time, the use of analgesics, postoperative hospital stay, hospitalization costs, postoperative recurrence and other aspects of the difference . Results in the use of analgesics, postoperative hospital stay, etc., there was no significant difference between the two groups. (T = 9.88, P <0.001). The hospitalization cost observation group was more than the control group, the difference was statistically significant (t = 3.24, P <0.01); the operation time observation group was slightly longer than the control group, the difference was statistically significant Post-relapse rate in observation group was less than that in control group, the difference was statistically significant (P = 0.027). Conclusion laparoscopic treatment of children with large defects of inguinal hernia, abdominal transverse fascia mesh repair + high ligation of hernia sac in the prevention of recurrence after surgery, was significantly better than simple high ligation of hernia sac.