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中华疝和腹壁外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 445 -448. doi: 10.3877/cma.j.issn.1674-392X.2023.04.017

论著

腹腔镜内环口关闭联合脐内侧韧带覆盖术治疗儿童复发性腹股沟斜疝
刘宁(), 耿伟民, 刘昆强   
  1. 101100 北京市通州区妇幼保健院小儿外科
  • 收稿日期:2023-03-14 出版日期:2023-08-18
  • 通信作者: 刘宁

Clinical observation of laparoscopic internal ring closure combined with medial umbilical ligament coverage in the treatment of children with recurrent indirect inguinal hernia

Ning Liu(), Weimin Geng, Kunqiang Liu   

  1. Pediatric Surgery, Maternal and Child Health Care Hospital, Tongzhou District, Beijing, Beijing 101100, China
  • Received:2023-03-14 Published:2023-08-18
  • Corresponding author: Ning Liu
引用本文:

刘宁, 耿伟民, 刘昆强. 腹腔镜内环口关闭联合脐内侧韧带覆盖术治疗儿童复发性腹股沟斜疝[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(04): 445-448.

Ning Liu, Weimin Geng, Kunqiang Liu. Clinical observation of laparoscopic internal ring closure combined with medial umbilical ligament coverage in the treatment of children with recurrent indirect inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(04): 445-448.

目的

探讨腹腔镜内环口关闭联合脐内侧韧带覆盖术治疗儿童复发性腹股沟斜疝的疗效。

方法

选取2019年10月至2020年9月北京市通州区妇幼保健院收治的46例复发性腹股沟斜疝患儿,按照数字随机表法分为对照组(23例)和观察组(23例)。对照组患儿采用腹腔镜内环口关闭治疗,观察组患儿采用腹腔镜内环口关闭联合脐内侧韧带覆盖术治疗。观察并比较两组患儿手术相关指标、术后疼痛程度、随访1年并发症发生及复发情况。

结果

观察组有3例患儿脐内侧韧带萎缩无法拉至腹股沟管内环口,改为腹腔镜内环口关闭治疗。两组患儿手术时间、术中出血量、下地行走时间、住院时间、术区疼痛、术后腹痛比较差异均无统计学意义(P>0.05);术后1年,观察组并发症发生率及复发率较对照组偏低,但差异无统计学意义(P>0.05)。

结论

腹腔镜内环口关闭术联合脐内侧韧带覆盖术相较于单一腹腔镜内环口关闭术不延长手术时间、增加术中出血量,术后1年并发症发生率及复发率有低于对照组的趋势。

Objective

To investigate the efficacy of laparoscopic internal ring closure combined with medial umbilical ligament coverage in the treatment of children with recurrent indirect inguinal hernia.

Methods

46 children with recurrent indirect inguinal hernia who were admitted in Maternal and Child Health Care Hospital of Tongzhou District, Beijing were selected, they were divided into the control group (23 cases) and the observation group (23 cases) according to the random number table method. The control group was treated with laparoscopic internal ring closure, while the observation group was treated with laparoscopic internal ring closure combined with medial umbilical ligament coverage. The operation related indexes, pain degree after operation, complications and recurrence during 1 year follow-up were observed and compared between the two groups.

Results

In the observation group, 3 cases with medial umbilicus ligament atrophy could not be pulled to the internal inguinal canal ring, and they were treated with laparoscopic internal ring closure. There was no significant difference in the operation time, intraoperative blood loss, walking time, hospitalization time, pain in the operation area, and postoperative abdominal pain between the two groups (P>0.05). One year after operation, the incidence of complications and recurrence rate in the observation group were lower than those in the control group, but the difference was not statistically significant (P>0.05).

Conclusion

Compared with single laparoscopic internal ring closure, laparoscopic internal ring closure combined with medial umbilical ligament coverage did not prolong the operation time or increase the intraoperative blood loss. The incidence of complications and recurrence rate 1 year after operation tended to be lower than those of the control group.

表1 两组患儿一般资料比较
表2 两组患儿手术时间、术中出血量、下地行走时间、住院时间比较(±s
表3 两组患儿术区疼痛、术后腹痛视觉模拟评分比较(分,±s
表4 两组患儿复发率及并发症发生情况比较[例(%)]
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