摘要
目的探讨单孔腹腔镜下鞘状突高位结扎术及传统鞘状突高位结扎术治疗儿童鞘膜积液的疗效。方法选取我院2021年5月—2023年5月收治的82例鞘膜积液患儿为研究对象,按随机数字表法将其分为对照组和观察组,各41例。对照组采用传统手术治疗,观察组采用单孔腹腔镜手术治疗,比较两组手术情况、应激反应指标、术后疼痛评分及并发症发生情况。结果观察组切口长度为(4.52±1.05)mm,短于对照组的(18.69±1.32)mm,术中出血量为(2.76±0.32)mL,少于对照组的(6.52±1.15)mL,手术时间为(28.41±2.38)min,长于对照组的(22.36±2.14)min,住院时间及胃肠功能恢复时间分别为(2.59±0.42)d、(8.76±1.12)h,均短于对照组的(4.08±0.45)d、(11.54±1.33)h,组间差异有统计学意义(P<0.05)。观察组术后24 hCor、NA、肾上腺素水平分别为(135.96±8.43)μg/L、(83.41±7.12)μg/L、(87.64±7.53)μg/L,均低于对照组的(158.41±10.59)μg/L、(101.35±8.41)μg/L、(105.41±9.32)μg/L,组间差异有统计学意义(P<0.05)。观察组术后12、24、48 h疼痛评分分别为(3.52±0.41)分、(2.75±0.32)分、(2.02±0.21)分,均低于对照组的(4.75±0.58)分、(3.49±0.38)分、(2.57±0.34)分,并发症发生率为4.88%,低于对照组的19.51%,组间差异有统计学意义(P<0.05)。结论单孔腹腔镜下鞘状突高位结扎术治疗儿童鞘膜积液效果更佳,可减轻机体应激反应,降低术后疼痛评分,且并发症少。
Objective To explore the clinical effect of single hole laparoscopic high ligation of the sheath process and traditional high ligation of the sheath process in the treatment of hydrocele in children.Methods 82 children with hydrocele admitted to our hospital from May 2017 to May 2023 were selected as the research objects and randomly divided into a control group and an observation group,with 41 cases in each group.The control group received traditional surgical treatment,while the observation group received single hole laparoscopic surgery.The surgical conditions,stress response indicators,postoperative pain scores,and complications of the two groups were compared.Results The length of the incision in the observation group was(4.52±1.05)mm,shorter than(18.69±1.32)mm of the control group,intraoperative bleeding of the observation group was(2.76±0.32)mL,less than the control group's(6.52±1.15)mL,surgery time of the observation group was(28.41±2.38)min,longer than(22.36±2.14)min of the control group,hospitalization time and gastrointestinal function recovery time of the observation group were(2.59±0.42)d and(8.76±1.12)h,shorter than(4.08±0.45)d and(11.54±1.33)h of the control group,and the differences were statistically significant between the two groups(P<0.05).The postoperative levels of Cor,NA,and adrenaline in the observation group were(135.96±8.43)μg/L,(83.41±7.12)μg/L,(87.64±7.53)μg/L at 24 hours after surgery,lower than(158.41±10.59)μg/L,(101.35±8.41)μg/L,(105.41±9.32)μg/L of the control group,and the differences were statistically significant between the groups(P<0.05).The pain scores of the observation group were(3.52±0.41)points,(2.75±0.32)points,and(2.02±0.21)points at 12 hours,24 hours,and 48 hours after surgery,which were lower than(4.75±0.58)points,(3.49±0.38)points,and(2.57±0.34)points of the control group,the incidence of complications in the observation group was 4.88%,lower than 19.51%in the control group,and the differences were statistically significant between the groups(P<0.05).Conclusion Single hole laparoscopic high ligation of the sheath process is more effective in the treatment of hydrocele in children,can reduce the body's stress response,reduce postoperative pain scores,and have fewer complications.
作者
李继如
江凯
LI Jiru;JIANG Kai(Department of Pediatric Surgery,Jinxiang County People's Hospital,Jining Shandong,272200,China)
出处
《反射疗法与康复医学》
2023年第19期147-150,共4页
Reflexology And Rehabilitation Medicine
关键词
儿童鞘膜积液
单孔腹腔镜下鞘状突高位结扎术
传统鞘状突高位结扎术
安全性
Children's hydrocele
Single hole laparoscopic high ligation of the sheath process
Traditional high ligation of the sheath like process
Security
作者简介
李继如(1985-),男,山东济宁人,本科,主治医师,研究方向:小儿外科疾病诊治。
