经腹疝囊内口旷置腹膜外术治疗小儿腹股沟疝疗效分析

摘要

目的：探讨小儿腹股沟疝治疗方法，分析经腹疝囊内口旷置腹膜外术治疗小儿腹股沟疝的疗效。方法选择我院2005年1月至2015年1月收治的102例腹股沟疝患儿，根据随机数字表法分为治疗组和对照组，治疗组55例采用经腹疝囊内口旷置腹膜外术，对照组47例采用经腹股沟疝囊高位结扎术。对比分析2组患者的切口长度、住院时间、手术时间、术后疼痛及医疗费用等情况。结果经腹疝囊内口旷置腹膜外手术时间、切口长度、术后疼痛均优于经腹股沟疝囊高位结扎术，差异具有统计学意义（P ＜0．05）。结论经腹疝囊内口旷置腹膜外术治疗小儿腹股沟疝手术操作简单、手术时间短、术后并发症和复发率低、手术安全、疗效可靠。%Objective To explore the treatment of children with hernia,and the advantage of transabdominal extraperitoneal hernia sac exclusion was analyzed.Methods A total of 102 patients in our hospital from January 2005 to January 2015 were randomly divided into 2 groups,55 cases who treated by the surgery of transabdominal extraperitoneal hernia sac exclusion were treatment group,47 cases who treated by the surgery of high ligation of the hernia sac throug the inguinal incision were control group.The operative time,length of hospital stay, length of incision,postoperative pain and hospitalization costs between two groups were compared.Results The effect of the treatment group was superior to the control group on operative time,length of incision and postoperative pain,the difference was significant(P <0.05).Con-clusion There are some advantages of more simplified operation,shorter time of the surgery,less complication,lower recurrence rate and more reliable curative effect in the treatment of transabdominal extraperitoneal hernia sac exclusion for children with hernia,which is worthy of clinical promotion.