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目的探讨两种手术方法在小儿腹股沟斜疝中的疗效。方法采用回顾性分析法,选取开封县第二人医院2011年5月至2014年8月收治的150例腹股沟斜疝患儿的临床资料,按照治疗方法的不同将其分为对照组和观察组,每组75例,对照组给予传统手术方法治疗,观察组给予腹腔镜手术治疗,比较两组患儿手术时间、住院时间、离床活动时间、住院费用、术后并发症与复发率以及术后1、2 d的疼痛评估。结果观察组住院费用略高于对照组;观察组手术时间、离地活动时间、住院时间及术后并发症出现概率等方面均优于对照组(P<0.05)。结论腹腔镜手术治疗小儿腹股沟斜疝与传统手术比较具有更好的疗效,其不仅操作简单、创伤小、疼痛轻,而且患者术后恢复快,并发症发生率低,值得在临床上推广应用。
Objective To investigate the curative effect of two surgical methods in children with indirect inguinal hernia. Methods The clinical data of 150 cases of inguinal indirect hernia admitted from the second hospital of Kaifeng County from May 2011 to August 2014 were retrospectively analyzed. According to the different treatment methods, they were divided into control group and observation group , 75 cases in each group. The control group was treated by traditional surgical methods. The observation group was given laparoscopic surgery. The operation time, hospitalization time, bed movement time, hospitalization expenses, postoperative complications and recurrence rate, Pain assessment after 1, 2 d. Results The hospitalization cost of the observation group was slightly higher than that of the control group. The observation group had better operation time, the time of leaving the ground, the length of hospital stay and the probability of postoperative complications than the control group (P <0.05). Conclusions Laparoscopic surgery for inguinal indirect inguinal hernia in children is more effective than conventional surgery. It is not only simple, less traumatic and less painful, but also has a quick recovery after operation and low complication rate. It is worth popularizing and applying in clinic.