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目的探析小儿疝气应用腹横纹小切口手术治疗的临床效果。方法 68例小儿疝气患儿,按照硬币法分为对照组与试验组,各34例。对照组患儿行传统疝修补术,试验组患儿行腹横纹小切口手术。比较两组患儿手术时间、术中出血量、住院时间及并发症发生率。结果试验组患儿手术时间、住院时间均短于对照组患儿,术中出血量少于对照组患儿,差异具有统计学意义(P<0.05)。试验组患儿并发症发生率为2.9%,低于对照组患儿的20.6%,差异具有统计学意义(χ~2=5.100,P=0.024<0.05)。结论腹横纹小切口手术治疗小儿疝气的临床效果确切,能够有效缩短手术时间,减少术中出血量与术后并发症,缩短住院时间,是一种值得临床应用与推广的手术治疗方式。
Objective To investigate the clinical effect of surgical treatment of pediatric hernia with abdominal transverse incision. Methods Sixty-eight children with hernia were divided into control group and trial group according to the coin method, 34 cases in each group. Control group of children underwent traditional hernia repair, the experimental group of children underwent abdominal transverse incision small incision surgery. The operation time, intraoperative blood loss, hospitalization time and complication rate were compared between the two groups. Results The operation time and hospitalization time of the experimental group were both shorter than those of the control group. The blood loss during the operation was less than that of the control group. The difference was statistically significant (P <0.05). The incidence of complication in the experimental group was 2.9%, which was lower than that in the control group (20.6%) (χ ~ 2 = 5.100, P = 0.024 <0.05). Conclusion The clinical effect of abdominal transverse incision with small incision in treating pediatric hernia is exact, which can effectively shorten the operation time, reduce the intraoperative blood loss and postoperative complications, and shorten the hospital stay. It is a surgical treatment worthy of clinical application and promotion.