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目的研究横形小切口治疗小儿腹股沟疝的临床效果。方法选取于2011年6月-2012年6月在医院进行治疗的200例腹股沟疝小儿患者,按照随机分组方式将其分为治疗组和对照组各100例。对照组采用传统的腹股沟斜切口行疝囊高位结扎手术治疗,而治疗组采用横形小切口行疝囊高位结扎手术治疗。临床观察对比2组患者的术中出血量、手术时间和住院时间。结果治疗组患者的术中出血量、手术时间和住院时间分别为(3.50±1.20)ml、(10.23±5.31)min和(6.50±1.30)d,相比于对照组存在明显差异,2组结果对比有显著性差异(P<0.05),有统计学意义。结论横形小切口行疝囊高位结扎手术治疗腹股沟疝小儿患者的临床效果非常好,手术时间短,能够有效地减少患者术中的出血量,值得在临床上推广应用。
Objective To study the clinical effect of transverse small incision in treatment of infantile inguinal hernia. Methods A total of 200 children with inguinal hernia who were treated in the hospital from June 2011 to June 2012 were randomly divided into treatment group (n = 100) and control group (n = 100). In the control group, conventional inguinal oblique incision was performed for high ligation of hernia sac, while the treatment group was treated with high ligation of hernia sac with a small transverse incision. Clinical observation of 2 groups of patients compared intraoperative blood loss, operation time and hospital stay. Results The intraoperative blood loss, operation time and hospital stay in the treatment group were (3.50 ± 1.20) ml and (10.23 ± 5.31) min and (6.50 ± 1.30) days respectively, there were significant differences between the two groups There was significant difference between the two groups (P <0.05), with statistical significance. Conclusion The transverse small incision hernia sac high ligation surgery for inguinal hernia in children with very good clinical results, short operative time, can effectively reduce the amount of bleeding in patients with surgery, it is worth to promote the clinical application.