单孔腹腔镜与腹股沟小切口治疗小儿鞘膜积液的临床效果比较

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Abstract Objective To compare the clinical effect between single-port laparoscopy and small inguinal incision in the treatment of pediatric hydrocele. Methods The clinical data of 633 children with hydrocele admitted to our hospital from June 2014 to May 2018 were retrospectively analyzed.According to the inclusion and exclusion criteria,546 children were finally included.They were divided into laparoscopic group (303 cases) and open operation group (243 cases) according to different treatment methods.The single-port laparoscopic high ligation of double-line sheath process was performed in the laparoscopic group, while the small inguinal incision was performed in the open operation group.The operation time, hospitalization time, intraoperative blood loss, hospitalization expense, total incidence rate of postoperative complications and recurrence rate of the two groups were compared. Results The operation time (unilateral [17.9±2.5]min, bilateral [27.7±2.6]min) of the laparoscopic group was shorter than that of the open operation group (unilateral [24.9±3.3]min, bilateral [40.8±3.1]min), the hospitalization time ([2.6±0.7]d) was shorter than that of the open operation group ([3.9±1.6]d), and the intraoperative blood loss ([1.2±0.4]ml) was less than that of the open operation group([2.2±1.0]ml),the hospitalization expense([6076.5±496.6]yuan)was higher than that of the open operation group([3665.1±444.3]yuan), and the total incidence rate of postoperative complications (0.7%) was lower than that of the open operation group (11.9%), the differences were statistically significant (P＜0.05).After 1 year of follow-up, the recurrence rate in the laparoscopic group (0.7%) was not significantly different from that in the open operation group (2.1%) (P＞0.05).Conclusion The single-port laparoscopic high ligation of double-line sheath process has obvious advantages over small inguinal incision in terms of effect and safety for pediatric hydrocele, and it is worthy of clinical promotion.

Key words： Pediatric hydrocele Single-port laparoscopy Small inguinal incision High ligation of sheath process

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	Articles by authors
	CHEN Jin-rong
	CHEN Wen-you
	WANG Yan-hui
	YE Feng-guang
	YANG Feng-bin
	JIAN Zi-wei

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CHEN Jin-rong,CHEN Wen-you,WANG Yan-hui, et al. Clinical effect comparison between single-port laparoscopy and small inguinal incision in the treatment of pediatric hydrocele[J]. 中国当代医药, 2020, 27(15): 153-156.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I15/153

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