经脐单通道腹腔镜下钩针应用于小儿未闭鞘状突的临床分析

摘要

目的:评估经脐单通道腹腔镜下钩针应用于小儿未闭鞘状突术随机选择病例的可行性、有效性和安全性.方法:回顾分析2016年1月至2017年4月收治的男性患者65例,经脐单通道腹腔镜下钩针32例,传统开放手术33例,两组患儿的临床资料进行比较.记录患者手术时间、出血量、切口长度、住院时间、治疗费用、阴囊肿胀情况及术后并发症等指标.结果:经脐单通道腹腔镜下钩针在手术时间、出血量、切口长度及住院时间方面均优于开放组,但住院费用高于传统开放手术组,差异均有统计学意义(P<0.05).而术后并发症两者相比差异无统计学意义(P>0.05).结论:该项新技术除了具有传统腹腔镜手术的优点外,还具有操作方法简单、无需其它特殊设备、易于推广等优点,具有较大的临床实用价值.%Objective:To evaluate the feasibility,efficacy and safety of single channel laparoscopic needle insertion for pediatric patients with patent closure without closure of the sheath.Method: A retrospective analysis of 65 males from January 2016 to April 2017 was performed.There were 32 cases of needle insertion under the umbilicus and 33 cases of traditional open surgery.The clinical data of the two groups were compared.The operation time,bleeding volume,incision length,hospitalization time,treatment cost,scrotal swelling and postoperative complications were recorded.Results: Transumbilical single channel laparoscopic Crochet in the operation time,bleeding volume,incision length and hospitalization time were better than the open group,but the cost of hospitalization was higher than that of the traditional open surgery group,the differences were statistically significant(P<0.05).The postoperative complications compared with no significant difference(P>0.05).Conclusion: In addition to the advantages of traditional laparoscopic surgery,the new technique has the advantages of simple operation,no special equipment,easy popularization and so on.It has great clinical practical value.