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传统手术与微创手术治疗小儿疝气的临床效果比较(1)
http://www.100md.com 2015年5月5日 《中外医疗》 201513
     [摘要] 目的 观察对比传统手术与微创手术治疗小儿疝气的临床疗效。方法 整群选取该院2014年3月—2015年3月间儿科门诊收治的62例小儿疝气患儿,采用随机数字表法分为观察组与对照组,每组31例,观察组患儿给予微创手术治疗,对照组患儿给予传统手术治疗,对比观察两组患儿治疗的临床疗效及并发症。结果 观察组患儿手术时间以及住院时间均短于对照组,同时观察患儿术中出血量也少于对照组,两组患儿对比差异有统计学意义(P<0.05);观察组患儿并发症的总发生率为6.45%,对照组为22.58%,观察组明显低于对照组,两组患儿对比差异有统计学意义(P<0.05)。结论 小儿疝气应用微创手术治疗临床疗效确切,且手术时间较短,出血量与并发症较少,恢复较快,值得临床广泛推广及应用。

    [关键词] 小儿疝气;微创手术治疗;传统手术治疗;临床疗效

    [中图分类号] R59 [文献标识码] A [文章编号] 1674-0742(2015)05(a)-0044-02

    Traditional Surgery and Minimally Invasive Surgical Treatment of Pediatric Hernia Compare the Clinical Effects

    YANG Li

    Derpartment of General Surgery,Jili Hospitai of Liuyang City,Liuyang,Hunan Province,410300 China

    [Abstract] Objective To observe the clinical curative effect of the contrast of traditional operation and minimally invasive operation in treatment of infantile hernia. Methods 62 cases of infantile hernia were selected in our hospital in 2014 March ~2015 year in March admitted to the outpatient department of Pediatrics, were randomly divided into observation group and control group, 31 cases in each group, the observation group were given minimally invasive operation treatment, the control group were given conventional treatment comparison operation, clinical effect and complications of treatment in the two groups were observed the. Results The observation group with operation time and hospitalization time were shorter than the control group, and observed the amount of intraoperative bleeding is less than that of the control group, the difference of two groups were compared significantly (P<0.05), the difference was statistically significant; the observation group with the overall complication rate was 6.45%, 22.58% in the control group, the observation group was significantly lower than that of the control group, the difference of two groups were compared significantly (P<0.05), there is statistical significance. Conclusion Children colic application of minimally invasive operation treatment and the exact clinical curative effect, short operation time, amount of bleeding and fewer complications, faster recovery, and worthy of extensive promotion and clinical application.

    [Key words] Children colic; Minimally invasive operation in the treatment of traditional operation therapy; Clinical curative effect

    小儿疝气在外科临床上极为常见,主要包括腹股沟直疝以及腹股沟斜疝等[1]。据相关研究表明,小儿疝气治疗的方法主要为手术治疗,由于小儿体质特殊,且传统手术治疗的方式主要以腹股沟韧带作斜切口,因此手术时间长、创伤较大、切口长以及易复较高,已不被临床医学所接受[2]。随着微创技术的不断发展,微创手术治疗小儿疝气得以实现。该研究选取2014年3月—2015年3月间该院收治的小儿疝气患儿62例为研究对象,对传统手术与微创手术治疗小儿疝气进行对比分析,且取得满意的效果,现将具体结果报道如下。, 百拇医药(阳历)
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