首页|腹横纹小切口手术治疗疝气患儿的临床效果及对术后并发症发生情况的影响

腹横纹小切口手术治疗疝气患儿的临床效果及对术后并发症发生情况的影响

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目的 探究腹横纹小切口手术治疗疝气患儿的临床效果及对术后并发症发生情况的影响。方法 选择2020年 3月至 2022 年 12 月收治的 80例疝气患儿作为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组开展传统疝修补术治疗,观察组开展腹横纹小切口手术治疗。比较两组的手术效果。结果 观察组的术后并发症总发生率低于对照组(P<0。05)。观察组的治疗总有效率显著高于对照组(P<0。05)。观察组的手术时间、切口长度、术后排气时间、住院时间及术后自主活动时间短于对照组,术中出血量少于对照组,住院总费用、疼痛视觉模拟量表(VAS)评分低于对照组(P<0。05)。观察组的镇痛药物使用率、术后1年复发率低于对照组,治愈率高于对照组(P<0。05)。术后 24 h,观察组的一氧化氮(NO)、白细胞介素-6(IL-6)及C-反应蛋白(CRP)水平低于对照组,白细胞介素-10(IL-10)水平高于对照组(P<0。05)。结论 腹横纹小切口手术治疗疝气患儿能够提升手术治疗效果,降低并发症发生率,改善术后炎症反应及预后。
Clinical effect of abdominal transverse striation small incision surgery in the treatment of children with hernia and its influence on the occurrence of postoperative complications
Objective To explore the clinical effect of abdominal transverse small incision surgery in the treatment of children with hernia and its influence on the occurrence of postoperative complications.Methods A total of 80 children with hernia admitted from March 2020 to December 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was treated with traditional hernia repair,and the observation group was treated with abdominal transverse small incision surgery.The surgical effects of the two groups were compared.Results The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The total effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).The operation time,incision length,postoperative exhaust time,hospitalization time and postoperative spontaneous activity time of the observation group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,the total cost of hospitalization and the Visual Analogue Scale(VAS)score were lower than those of the control group(P<0.05).The use rate of analgesic drugs and the recurrence rate at 1 year after operation in the observation group were lower than those in the control group,and the cure rate was higher than that in the control group(P<0.05).At 24 h after operation,the levels of nitric oxide(NO),interleukin-6(IL-6)and C-reactive protein(CRP)in the observation group were lower than those in the control group,and the level of interleukin-10(IL-10)was higher than that in the control group(P<0.05).Conclusion Abdominal transverse small incision surgery for children with hernia can improve the surgical treatment effect,reduce the incidence of complications,and improve postoperative inflammatory response and prognosis.

childrenherniaabdominal transverse small incision surgery

刘全胜、田金朝

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丹凤县妇幼保健计划生育服务中心外科,陕西 商洛,726200

商洛市丹凤县医院外一科,陕西 商洛,726200

小儿 疝气 腹横纹小切口手术

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(34)