论著-头颈部
两种术式对小儿疝气患儿预后恢复效果及并发症发生率的影响
作者:王耀光1 胡湘萍2 王 昀1 汪广兵1 曹瑞萌1 张 昭1
所属单位:1.河南省濮阳市人民医院小儿外科 (河南 濮阳 457000)2.河南省濮阳市人民医院儿二科 (河南 濮阳 457000)
PDF摘要
目的 分析两种术式对小儿疝气患儿预后恢复效果和并发症发生率的影响。方法 选取我院2013年3月-2015年12月收 治的疝气患儿84例为研究对象,采用随机分组法分为腹腔镜手术治疗(实验组,n=42)和传统手术治疗(对照组, n=42)。观察并比较两组患儿预后恢复情况和并发症发生率差异。结果 实验组术后排气时间、术后自主活动时 间、住院时间、切口愈合时间均较对照组短(P<0.05),实验组术后1年内阴囊肿胀、腹胀、切口感染、疝复发发 生率均低于对照组(P<0.05)。结论 腹腔镜手术较传统手术对小儿疝气患儿创伤小,病情恢复快且不易复发,预 后效果好,并发症发生风险也明显低于传统手术,对患儿病情恢复与预后状态更有利。
Objective To analyze the effects of two surgical procedures on prognoses and complication rates in children with hernia. Methods From Mar. 2013 to Dec. 2015, 84 children with hernia in our hospital were selected as the research objects, and they were randomly divided into experimental group (laparoscopic surgery, n=42) and control group (conventional surgery, n=42). The prognoses and complication rates in the two groups were observed and compared. Results The postoperative exhaust time, postoperative voluntary activity time, hospitalization time and wound healing time in the experimental group were all shorter than those in the control group (P<0.05), the incidence rates of scrotal swelling, abdominal distension, incisional infection and hernia recurrence in the experimental group were lower than those in the control group within 1 years (P<0.05). Conclusion Compared with conventional surgery, laparoscopic surgery which is more favorable for the recovery and prognosis, has the advantages of smaller trauma, rapider recovery, less recurrence, better prognosis, and lower risk of complications for children with hernia.
【关键词】小儿疝气;预后;效果;并发症
【中图分类号】R572;R72
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.02.009
前言
小儿疝气是小儿外科较常见的一种先天性畸形疾 病,主要因剧烈咳嗽或哭闹致腹腔压力升高诱发,高 发于男性患儿[1],以单侧腹股沟较为常见,少数患儿 双侧同时发生。该疾病病理解剖学分型主要可分为腹 股沟斜疝和直疝两种,临床以单侧腹股沟斜疝最为常 见。因非手术方法治疗小儿疝气常达不到治疗效果, 故临床多采用手术方法治疗。本研究为探究两种手术 方式对小儿疝气患儿预后效果和并发症发生情况的影 响,选取我院84例疝气患儿为研究对象,现报告如 下。
罕少疾病杂志
第25卷, 第 2 期
2019年11月
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