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1、傳統(tǒng)手術(shù)與微創(chuàng)手術(shù)治療小兒疝氣的效果比較doi:10.3969/j.issn.1007-614x.2014.20.32摘要目的:對(duì)傳統(tǒng)手術(shù)方法與微創(chuàng)手術(shù)方法治療小兒疝氣的臨床效果進(jìn)行觀察對(duì)比。方法:2011年8月-2013年8月收治疝氣患兒120例,隨機(jī)分成對(duì)照組和治療組各60例。對(duì)照組采取傳統(tǒng)手術(shù)方法進(jìn)行治療,治療組則采取微創(chuàng)手術(shù)方法進(jìn)行治療。對(duì)兩組術(shù)中出血量、手術(shù)時(shí)間、住院時(shí)間、并發(fā)癥發(fā)生率及自由活動(dòng)時(shí)間等方面進(jìn)行對(duì)比。結(jié)果:治療組術(shù)中出血量、手術(shù)時(shí)間、住院時(shí)間、并發(fā)癥發(fā)生率及自由活動(dòng)時(shí)間均優(yōu)于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義
2、(P3.05);對(duì)照組并發(fā)癥發(fā)生率43.33%,治療組發(fā)生率18.33%,兩組數(shù)據(jù)對(duì)比差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論:采取微創(chuàng)手術(shù)治療小兒疝氣具有安全性高、手術(shù)時(shí)間短、并發(fā)癥發(fā)生率低等優(yōu)勢(shì),能夠在較短時(shí)間內(nèi)改善患者生活質(zhì)量,值得臨床推廣使用。關(guān)鍵詞傳統(tǒng)手術(shù)微創(chuàng)手術(shù)小兒疝氣治療效果ComparisonoftheeffectofthetraditionaloperationandminimallyinvasiveoperationinthetreatmentofinfantileherniaWangBaolieThePe
3、ople'sHospitalofQufuCity,Shandong273100AbstractObjective:Toexploretheeffectofthetraditionaloperationandminimallyinvasiveoperationinthetreatmentofinfantilehernia.Methods:120childrencaseswithcolicwereselectedfromAugust2011toAugust2013.Theywererandomlydividedintotheco
4、ntrolgroupandthetreatmentgroupwith60casesineach.Thecontrolgroupweretreatedwithtraditionaloperationmethod.Thetreatmentgroupweretreatedwithminimallyinvasiveoperation.Wecomparedtheintraoperativebleedingvolume,operationtime,hospitalizationtime,complicationsandfreeplayt
5、imeofthetwogroups.Results:Inthetreatmentgroup,theintraoperativebleedingvolume,operationtime,hospitalizationtime,complicationsandfreeplaytimewereallbetterthanthoseofthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05)?Inthecontrolgroup,thecomplication
6、ratewas43.33%.Inthetreatmentgroup,theincidencewas18.33%.Thedifferencewasstatisticallysignificant(P<0.05).Conclusion:Takingtheminimalinvasiveoperationinthetreatmentofinfantileherniahasmanyadvantages,suchashighsafety,shortoperationtime,lowcomplicationrateandsoon.Itca
7、nimprovethelifequalityofpatientsinarelativelyshortperiodoftime,anditisworthyofclinicaluse.KeywordsTraditionaloperation;Minimallyinvasiveoperation;Infantilehernia;Effectoftreatment小兒疝氣在臨床較為常見(jiàn),其屬于普外科,患者的一般病變類(lèi)型為斜疝和直疝,在不采取治療的情況下難以自愈,目前最主要的治療方法即為手術(shù)治療。但是受到小兒體質(zhì)特殊性及疝氣自身特點(diǎn)的
8、影響,使得手術(shù)的難度較大[1]。傳統(tǒng)的治療方法切口較長(zhǎng),恢復(fù)時(shí)間較長(zhǎng)且容易復(fù)發(fā)。隨宥醫(yī)療技術(shù)的發(fā)展,微創(chuàng)技術(shù)逐漸被應(yīng)用于醫(yī)學(xué)領(lǐng)域。本篇文章就對(duì)傳統(tǒng)手術(shù)方法治療小兒疝氣與微創(chuàng)手術(shù)治療小兒疝氣的臨床效果進(jìn)行分析對(duì)比,以供參考。資料與方法2011年8月-2013年8月收治疝氣患兒120例,隨機(jī)分