[1]王仲秋,张虹,李承学.单孔与双孔腹腔镜治疗小儿腹股沟斜疝效果比较[J].青岛大学学报(医学版),2018,54(04):465-467,471.[doi:10.11712/jms201804022]
 WANG Zhongqiu,ZHANG Hong,LI Chengxue.COMPARATIVE ANALYSIS OF SINGLE-PORT AND TWO-PORT LAPAROSCOPIC TREATMENT OF INDIRECT INGUINAL HERNIA IN CHILDREN[J].JOURNAL OF QINGDAO UNIVERSITY (MEDICAL SCIENCES),2018,54(04):465-467,471.[doi:10.11712/jms201804022]
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单孔与双孔腹腔镜治疗小儿腹股沟斜疝效果比较()
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《青岛大学学报(医学版)》[ISSN:2096-5532/CN:37-1217/R]

卷:
第54卷
期数:
2018年04期
页码:
465-467,471
栏目:
出版日期:
2018-07-05

文章信息/Info

Title:
COMPARATIVE ANALYSIS OF SINGLE-PORT AND TWO-PORT LAPAROSCOPIC TREATMENT OF INDIRECT INGUINAL HERNIA IN CHILDREN
文章编号:
2096-5532(2018)04-0465-04
作者:
王仲秋12张虹1李承学2
(1 青岛大学附属医院小儿外科,山东 青岛 266003; 2 莱芜市人民医院小儿外科)
Author(s):
WANG Zhongqiu ZHANG Hong LI Chengxue
(Department of Pediatric Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266003, China)
关键词:
腹股沟腹腔镜检查儿童治疗结果
Keywords:
hernia inguinal laparoscopy child treatment outcome
分类号:
R726.56
DOI:
10.11712/jms201804022
文献标志码:
A
摘要:
目的 比较单孔与双孔腹腔镜治疗小儿腹股沟斜疝的临床效果。
方法 回顾分析腹腔镜治疗78例小儿腹股沟斜疝的临床资料,其中单孔腹腔镜手术42例(单孔组),双孔腹腔镜手术36例(双孔组),比较两组手术时间、术中出血量、住院天数及术后并发症等临床指标。
结果 单孔组手术时间和术中出血量较双孔组明显降低,差异有统计学意义(t=2.073、10.191,P<0.05)。两组术后住院时间比较差异无统计学意义(P>0.05)。单孔组中5例病儿内环口处皱褶较多且深或瘢痕较多,输精管及伴行血管埋藏于皱褶内,手术用时较多,其中2例改为双孔腹腔镜手术。单孔组与双孔组术后均无并发症出现,随访至今无复发病例。
结论 与双孔腹腔镜手术比较,单孔腹腔镜手术治疗小儿腹股沟斜疝具有创伤更小,且不增加手术时间及出血量等优点。若术中腹腔镜探查发现内环口皱褶较多且深时,可改为双孔腹腔镜继续手术。
Abstract:
Objective To compare the clinical effects of single-port and two-port laparoscopic treatment of indirect inguinal hernia in children.
Methods A retrospective analysis was performed on the clinical data of 78 children who received laparoscopic treatment for indirect inguinal hernia, including 42 cases of single-port laparoscopic surgery (single-port group) and 36 cases of two-port laparoscopic surgery (two-port group). The two groups were compared in terms of the time of operation, intraoperative blood loss, the length of hospital stay, and postoperative complications.
Results Compared with the two-port group, the single-port group showed significant reductions in the time of operation and intraoperative blood loss (t=2.073 and 10.191,P<0.05). There was no significant difference in the length of postoperative hospital stay between the two groups (P>0.05). In the single-port group, 5 children had many and deep folds or many scars in the inner ring, with the spermaduct and concomitant vessels buried in the folds, so their time of operation was increased; 2 of the 5 cases were converted to two-port laparoscopic surgery. There were no postoperative complications in either group, and no recurrence was observed during the follow-up period.
Conclusion Compared with two-port laparoscopic surgery, single-port laparoscopic surgery in the treatment of indirect inguinal hernia in children has the advantages of less trauma, less operation time, and less intraoperative blood loss. However, if intraoperative laparoscopic exploration reveals many and deep internal ring folds, it should be replaced by two-port laparoscopic surgery.
更新日期/Last Update: 2018-07-08