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目的探讨腹腔镜脐环缝扎术治疗小儿脐疝的疗效。方法采用对照研究,选取由我院收治的脐疝患儿66例,36例进行腹腔镜脐环缝扎术治疗的患儿为手术组。30例不愿接受腹腔镜或要求接受保守治疗的患儿为对照组。结果 36例患儿手术均顺利完成。治疗结束随访6个月,手术组脐疝全部治愈,对照组治愈24例。经卡方检验,P<0.05,差异有显著性。结论腹腔镜脐环缝扎术治疗小儿脐疝相比保守疗法,具有复发率低、安全有效、微创美观等特点,具有较高的临床推广运用价值。
Objective To investigate the efficacy of laparoscopic umbilical cord suture in the treatment of pediatric umbilical hernia. Methods A controlled study was conducted to select 66 children with umbilical hernia admitted to our hospital and 36 children undergoing laparoscopic umbilical ring suture surgery. Thirty patients who did not want to receive laparoscopy or received conservative treatment were the control group. Results 36 cases of children were successfully completed surgery. The treatment was followed up for 6 months. The umbilical hernia was completely cured in the operation group and 24 cases in the control group. The chi-square test, P <0.05, the difference was significant. Conclusions Laparoscopic umbilical cord suture in treating children with umbilical hernia compared with the conservative treatment, with low recurrence rate, safe and effective, minimally invasive and aesthetic features, with a high clinical value.