探讨分析腹腔镜与开放疝修补术治疗先天性膈疝的临床疗效。

选取2018年4月至2020年4月在十堰市妇幼保健院治疗的先天性膈疝患儿90例，采用随机数字表法将其分2组，每组患儿45例。对照组采用开放疝修补术治疗，腹腔镜组采用腹腔镜手术治疗。对比2组患儿手术时间、术中出血量、术后至第1次进食时间及术后并发症发生情况。

腹腔镜组手术时间、术后至第1次进食时间均低于对照组（P<0.05），腹腔镜组术中出血量也明显少于对照组（P<0.05）；腹腔镜组发生1例肺部感染，对照组发生1例肺部感染，3例切口感染。腹腔镜组并发症总发生率2.22%显著低于对照组并发症总发生率8.89%。

对于先天性膈疝患儿来说，开放疝修补术与腹腔镜手术均有显著的临床效果，腹腔镜手术切口小，术中出血量少，缩短了术后第1次进食时间，对患儿身体影响较小，有利于患儿的疾病恢复，值得临床推广使用。

To explore and analyze the clinical efficacy of laparoscopic and open hernia repair in the treatment of congenital diaphragmatic hernia.

A total of 90 children with congenital diaphragmatic hernia who were treated in our hospital from April 2018 to April 2020 were selected and divided into 2 groups by random number table method, with 45 children in each group. The control group was treated with open hernia repair, and the laparoscopic group was treated with laparoscopic surgery. The operation time, intraoperative blood loss, time from postoperative to the first feeding, and postoperative complications were compared between the two groups.

The operation time and the time from operation to the first meal in the laparoscopic group were lower than those in the control group (P<0.05), and the intraoperative blood loss in the laparoscopic group was significantly less than that in the control group (P<0.05). 1 case of pulmonary infection, 1 case of pulmonary infection in the control group, and 3 cases of incision infection. The total incidence of complications in the laparoscopy group was 2.22%, which was significantly lower than that in the control group, which was 8.89%.

For children with congenital diaphragmatic hernia, both open hernia repair and laparoscopic surgery have significant clinical effects. Laparoscopic surgery has a small incision, less intraoperative blood loss, and shortens the first postoperative eating time. It has less impact on children's body and is conducive to the recovery of children's disease, and is worthy of clinical promotion.