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目的回顾分析传统手术与腹横纹微创小切口手术治疗小儿疝气的手术效果及对患儿术后生活质量的影响。方法选取本院儿外科2012年6—12月治疗的122例小儿疝气患儿为研究对象,随机分为对照组与研究组各61例。对照组采用传统疝修补术,研究组给予腹横纹微创小切口手术治疗。观察并记录两组患儿的手术效果、术后生活质量评价及总有效率。计量资料比较采用t检验,计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果两组患者躯体活动功能、心理情绪、社交家庭功能、物质生活评分[(12.2±1.8)、(14.6±2.9)、(17.1±2.8)、(15.3±0.4)分与(18.7±2.6)、(23.1±2.5)、(22.3±1.6)、(23.1±0.9)分]比较,差异均有统计学意义(均P<0.05)。两组患者手术时间、住院天数、术中出血量、术后下床时间、拆线时平均瘢痕长度[(23.4±5.6)min、(6.8±1.7)d、(5.9±3.5)ml、(2.9±1.7)d、(3.3±0.7)cm与(12.3±3.8)min、(2.1±1.1)d、(1.3±0.2)ml、(1.0±0.2)d、(1.1±0.2)cm]比较,差异均有统计学意义(均P<0.05)。对照组患者切口异物感发生率为13.1%(8/61),观察组为0,比较差异有统计学意义(χ2=6.555,P<0.05);对照组复发率为19.7%(12/61),显著高于研究组的1.6%(1/61),差异有统计学意义(χ2=10.418,P<0.05)。对照组患者的总有效率为60.7%,显著低于研究组的100.0%,差异有统计学意义(χ2=29.878,P<0.05)。结论腹横纹微创小切口术后患儿生活质量较高,可减轻患儿的痛苦,促进患儿早日康复,患儿及家属接受度更高,值得临床进一步推广。
Objective To retrospectively analyze the effect of traditional surgery and minimally invasive abdominal incision on the surgical treatment of pediatric hernia and the effect on postoperative quality of life in children. Methods A total of 122 children with hernia treated in our hospital from June to December in 2012 were selected as study subjects and randomly divided into control group and study group with 61 cases each. In the control group, traditional hernia repair was used. The study group was given minimally invasive abdominal incision surgery. Observation and record of two groups of children with surgical results, postoperative quality of life evaluation and total effective rate. Measurement data were compared using t test, count data were compared using χ2 test, P <0.05 for the difference was statistically significant. Results The scores of physical activity, psychological emotion, social family function and life expectancy in the two groups were significantly higher than those in the control group (12.2 ± 1.8, 14.6 ± 2.9, 17.1 ± 2.8, 15.3 ± 0.4, 18.7 ± 2.6, (23.1 ± 2.5), (22.3 ± 1.6) and (23.1 ± 0.9) points, respectively. There were significant differences between the two groups (all P <0.05). The average length of scar was (23.4 ± 5.6) min, (6.8 ± 1.7) days, (5.9 ± 3.5) days, (2.9 ± 3.5) days, ± 1.7 d, 3.3 ± 0.7 cm vs 12.3 ± 3.8 min, 2.1 ± 1.1 d, 1.3 ± 0.2 ml, (1.0 ± 0.2) d, (1.1 ± 0.2) cm, respectively All were statistically significant (P <0.05). The incidence of foreign body incision in control group was 13.1% (8/61) in observation group and 0 in observation group (χ2 = 6.555, P <0.05). The recurrence rate in control group was 19.7% (12/61) , Significantly higher than that of the study group (1.6%, 1/61), the difference was statistically significant (χ2 = 10.418, P <0.05). The total effective rate of the control group was 60.7%, which was significantly lower than that of the study group (100.0%) (χ2 = 29.878, P <0.05). Conclusions The children with small transverse incision minimally invasive surgery have a higher quality of life, which can reduce the pain of children and promote the early recovery of children with higher acceptance rate in children and their families. It is worth further clinical promotion.