髂耻束和凹间韧带在腹腔镜小儿疝修补术中的疗效观察

摘要

Objective:To analyze the inter-beam and a concave iliopubic ligament in pediatric laparoscopic hernia repair application effect.Method:100 cases of pediatric inguinal hernia from September 2012 to March 2014 in our hospital were randomly divided into two groups,50 cases of each group.The control group received inner laparoscopicligation,the observation group received iliopubic tract and interfoveolar ligament suture on the basis of control group. Treatment and relapse rates of the two groups were observed.Result:The two groups’ operation time, hospital stay and postoperative ambulation time had no significant difference (P>0.05).The complication rate of the observation group was 4.0%, significantly lower than the 14.0% of the control group(P<0.05).The relapse rate of the observation group was 0, significantly lower than 10.0% of the control group (P<0.05).Conclusion:Pediatric hernia inner mouth horizontal bars appear around the peritoneal defect, and sutured iliopubic tract and interfoveolar ligament will help reduce the defect part of the peritoneum horizontal bars on the inner mouth ligation programs should be more firmly this method effectively reduces concurrency disease and relapse rates, should be introduced.%目的：分析髂耻束和凹间韧带在腹腔镜小儿疝修补术中的应用效果。方法：选取2012年9月-2014年3月本院收治的100例小儿腹股沟斜疝患者，按随机数字表法分为两组，每组50例。对照组采取腹腔镜内环结扎术，观察组则在对照组基础上缝合凹间韧带以及髂耻束，观察两组治疗情况与复发率。结果：两组的手术时间、住院时间及术后下床时间比较差异均无统计学意义（P>0.05）；观察组并发症发生率为4.0%，明显低于对照组的14.0%（P<0.05）；观察组复发率为0，明显低于对照组的10.0%（P<0.05）。结论：小儿斜疝内环口周围腹膜横筋出现缺损，而缝合凹间韧带以及髂耻束则有利于缩小缺损部分腹膜横筋，在内环口结扎方案上应用此法更为牢固，有效降低了并发症和复发率，值得推广使用。