摘要
目的观察腹腔镜下鞘状突高位结扎穿刺抽液术治疗鞘膜积液患儿的疗效。方法收集驻马店市中心医院2019年4月至2020年12月期间接收的鞘膜积液患儿106例作为研究对象,以腹腔镜下鞘状突高位结扎穿刺抽液术治疗的53例患儿作为腹腔镜组,以1∶1比例匹配开放手术治疗的53例患儿作为开放组,比较两组手术时间、术中出血量、胃肠功能复常时间、住院时间、并发症状况以及术前、术后3 d、7 d疼痛度[儿童疼痛行为(FLACC)量表法]、术前、术后1 d应激反应[去甲肾上腺素(NE)、肾上腺素(E)、皮质醇(Cor)]。结果腹腔镜组手术时间、胃肠功能复常时间、术后住院时间短于开放组,术中出血量少于开放组(P<0.05);术后1 d、3 d腹腔镜组FLACC评分少于开放组(P<0.05);与开放组比较,腹腔镜组并发症发生率减少(P<0.05);术后1 d腹腔镜组NE、E、Cor低于开放组(P<0.05)。结论腹腔镜下鞘状突高位结扎穿刺抽液术治疗鞘膜积液患儿时,可促进胃肠功能恢复,减少手术时间、术中出血量及住院时间,减轻疼痛度,缓解应激反应,降低并发症发生率。
【Objective】To observe the curative effect of laparoscopic high ligation and puncture of processus vaginalis in children with hydrocele.【Methods】A total of 106 children with hydrocele received in our hospital from April 2019 to December 2020 were collected as the research object.Fifty-three children treated with laparoscopic high ligation and puncture of processus vaginalis were used as laparoscopic group,with a 1:1 ratio matching 53 children treated with open surgery as the open group.The operation time,intraoperative blood loss,gastrointestinal function recovery time,hospital stay,complications,and preoperative and postoperative conditions such as 3 d,7 d pain degree(FLACC scale method),stress response[norepinephrine(NE),epinephrine(E),cortisol(Cor)]before and 1 d after surgery were compared between the two groups.【Results】The operation time,gastrointestinal function recovery time,and postoperative hospital stay in the laparoscopic group were shorter than those in the open group,and intraoperative blood loss was less than that in the open group(P<0.05);FLACC scores 1 and 3 days after operation were lower in the laparoscopic group than in the open group(P<0.05);compared with 15.09%in the open group,the complication rate of the laparoscopic group was significantly reduced to 1.89%(P<0.05);NE,E,and Cor in the laparoscopic group were lower than those in the open group 1 day after surgery(P<0.05).【Conclusion】Laparoscopic high ligation and puncture of processus vaginalis can promote the recovery of gastrointestinal function in children with hydrocele,reduce the operation time,intraoperative blood loss and hospital stay,reduce pain,relieve stress,and reduce the incidence of complications.
作者
梁程博
LIANG Chengbo(Department of Pediatric General Surgery,Zhumadian Central Hospital,Zhumadian,Henan 463000,China)
出处
《中国医学工程》
2022年第2期95-98,共4页
China Medical Engineering
