J4 ›› 2013, Vol. 12 ›› Issue (6): 48-50.

• 临床医学 • 上一篇    下一篇

下腹横纹正中单一小切口治疗小儿双侧腹股沟斜疝

  

  1. 大理学院附属医院,云南大理 671000
  • 收稿日期:2012-05-10 修回日期:2012-09-21 出版日期:2013-06-15 发布日期:2013-06-15
  • 作者简介:曲文超,医师,主要从事儿科临床研究.

The Treatment of Bilateral Inguinal Hernia with a Single Minor Incision in the Middle of Lower Abdominal Striated in Children

  1. Affiliated Hospital of Dali University,Dali, Yunnan 671000, China
  • Received:2012-05-10 Revised:2012-09-21 Online:2013-06-15 Published:2013-06-15

摘要:

目的:探讨下腹横纹正中单一小切口治疗双侧小儿腹股沟斜疝的优越性。方法:将2006年2月—2009年6月收治的229例
(280侧)小儿腹股沟疝患儿根据采用不同的切口行疝囊高位结扎术分为四组:即单一小切口双侧组、单侧小切口组、双侧斜切口组和单侧斜切口组,用单因素方差分析切口长度、术中出血量、手术时间及术后住院天数等指标在组间的差异。结果:全部患儿手术顺利,切口甲级愈合。切口长度、术中出血量、手术时间和术后住院天数等指标在组间比较差异有显著性(P<0.05),单一小切口双侧组各指标均小于斜切口治疗的二组,但各指标在单一小切口治疗单侧和双侧间比较差异无统计学意义(P>0.05)。结论:经下腹横纹正中单一小切口治疗小儿双侧腹股沟斜疝操作简单、创伤小、美观、恢复快。

关键词: 下腹横纹单一小切口, 双侧腹股沟斜疝, 手术, 儿童

Abstract:

Objective:To explore the superiority and its effect of median single minor incision in the middle of lower abdominal
striated on treating bilateral inguinal hernia in children. Methods:229 children with inguinal hernia(280 sides)from February 2006 to June 2009 underwent hernia sac ligation were divided into four groups according to the different skin incision: first was a single minor incision for bilateral hernia group; second was a minor incision for unilateral hernia group; third was bilateral oblique incision for bilateral hernia group and forth was the unilateral oblique incision for bilateral hernia group. The data of incision length, blood loss, operative time and postoperative hospital days were analyzed and compared with ANOVA among groups. Results:All operations of the children were smoothly and the overcome course after surgery were uneventfully. No complication occurred in any child. There was statistical significance of the data among all groups (P<0.05). Its value in first group was lower than that in third and forth
groups, but there was no statistical significance of the data between first and second groups (P>0.05). Conclusion:The treatment of bilateral inguinal hernia with a single minor incision in the middle of lower abdominal striated in children is easy to operate, less traumatic, aesthetic and rapid recovery.

Key words: single median minor incision in the middle of lower abdominal striated, bilateral indirect inguinal hernia, operation,
children

中图分类号: