腹腔镜内环口缝扎手术在小儿鞘膜积液中的临床价值

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英文篇名：Clinical value of laparoscopic internal orifice suture in children with hydrocele 作者：刘艳丽 ; 郝毅 英文作者：LIU Yan-li;HAO Yi;Baoji Maternal and Child Health Care Hospital; 关键词：腹腔镜内环口缝扎手术 ; 鞘膜积液 ; 小儿 英文关键词：laparoscopic internal orifice suture;;hydrocele;;pediatric 中文刊名：YLYS 英文刊名：Clinical Research and Practice 机构：宝鸡市妇幼保健院; 出版日期：2019-05-11 出版单位：临床医学研究与实践 年：2019 期：v.4 语种：中文; 页：YLYS201914029 页数：2 CN：14 ISSN：61-1503/R 分类号：80-81

摘要

目的探讨腹腔镜内环口缝扎手术在小儿鞘膜积液中的临床价值。方法选取2015年1月至2018年1月我院收治的的132例鞘膜积液患儿,采用随机数字表法将其分为A、B两组,每组66例。A组患儿采用腹腔镜内环口缝扎手术进行治疗,B组患儿采用常规的传统开放手术进行治疗。结果 A组患儿治疗总有效率高于B组(P<0.05);A组患儿术后复发率低于B组(P<0.05);A组手术时间短于B组,术中出血量少于B组(P<0.05);A组患儿术后并发症总发生率低于B组(P<0.05);A组患儿的住院时间短于B组,且住院费用低于B组(P<0.05)。结论腹腔镜内环口缝扎手术治疗小儿鞘膜积液效果显著,且复发率较低,值得临床推广。
        Objective To investigate the clinical value of laparoscopic internal orifice suture in children with hydrocele.Methods A total of 132 cases of children with hydrocele admitted in our hospital from January 2015 to January 2018 were selected as the research objects and divided into group A and group B according to the random number table method, with66 cases in each group. The children in group A underwent the laparoscopic internal orifice suture, while the group B underwent the conventional open operation. Results The total effective rate of treatment in group A was higher than that in group B(P<0.05); the recurrence rate in group A was lower than that in group B(P<0.05); the operation time in group A was shorter than that in group B, and the amount of bleeding during operation was less than that in group B(P<0.05); the total incidence of complications in group A was lower than that in group B(P<0.05); the hospitalization time in group A was shorter than that in group B, and hospitalization expenses was lower than that in group B(P <0.05). Conclusion Laparoscopic internal orifice suture in the treatment of hydrocele in children has a significant effect and lower recurrence rate, which is worthy of clinical promotion.

引文

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