经腹股沟小切口治疗小儿交通性鞘膜积液临床疗效观察

摘要

ObjectiveTo evaluate clinical effect by inguinal small incision in the treatment of pediatric communicating hydrocele.MethodsA total of 132 children with communicating hydrocele were divided by different operation way into conventional high ligation of hernial sac treatment group (control group) and inguinal small incision treatment group (observation group), with 66 cases in each group. Surgical indexes and postoperative complications were compared between the two groups.ResultsThe observation group had all shorter operation time, postoperative pain time and hospital stay time than the control group (P<0.05). The observation group had lower incidence of complications as 4.5% than 19.7% of the control group (P<0.05).ConclusionImplement of inguinal small incision provides precise effect in treating pediatric communicating hydrocele, along with few postoperative complications and good cosmetic result. This method is worth further clinical promotion and application.%目的：评价经腹股沟小切口治疗小儿交通性鞘膜积液的临床疗效。方法132例交通性鞘膜积液患儿，按照手术方式的不同分为传统疝囊高位结扎手术治疗组(对照组)和经腹股沟小切口治疗组(观察组)，各66例。比较两组患儿的手术指标及术后并发症情况。结果观察组患儿手术时间、术后疼痛时间及住院时间均短于对照组(P<0.05)。观察组患儿术后并发症发生率为4.5%，低于对照组的19.7%(P<0.05)。结论采用经腹股沟小切口治疗小儿交通性鞘膜积液的疗效突出，术后并发症少，能够获得较好的美容效果，值得临床进一步推广使用。