儿童保健124脐部切口腹腔镜手术治疗小儿腹股沟斜疝的效果观察徐保东郓城县人民医院小儿外科，山东菏泽274700【摘要】目的：探讨在治疗小儿腹股沟斜疝疾病中，采用脐部腹腔镜术和常规开腹手术的效果观察。方法：选取我院收治的腹股沟斜疝患儿作为研究对象，患儿数量共计80例。随机分为对照组与观察组，分别采取脐部切口腹腔镜手术与常规开腹手术，对比两组患儿治疗效果。结果：观察组患儿的手术时长、出血量、腹股沟恢复情况、术后不良反应发生情况、术后住院时间、术后疼痛情况等各项临床指标均优于对照组患儿，两者之间差异明显（P<0.05）。结论：脐部切口腹腔镜手术在治疗小儿腹股沟斜疝治疗中的应用价值和疗效更加显著。【关键词】小儿腹股沟斜疝；常规开腹术；脐部切口腹腔镜手术EffectoflaparoscopicsurgeryofumbilicalincisionininfantileindirectinguinalherniaXUBaodongDepartmentofPediatricSurgery,YunchengCountyPeople'sHospital,Heze,Shandong274700,China【Abstract】Objective:Toinvestigatetheeffectofumbilicallaparoscopyandconventionallaparotomyinthetreatmentofpediatricobliqueinguinalherniadiseases.Methods:80childrenwithobliqueinguinalherniaadmittedtoourhospitalwereselectedastheresearchobject.Theywererandomlydividedintothecontrolgroupandtheobservationgroup,andlaparoscopicsurgerywithumbilicalincisionandconventionallaparotomyweretakenrespectivelytocomparethetreatmenteffectsofthetwogroups.Results:Theoperativeduration,bleedingvolume,inguinalrecovery,postoperativeadversereactions,postoperativehospitalizationtime,postoperativepainandotherclinicalindicatorsofchildrenintheobservationgroupwerebetterthanthoseofchildreninthecontrolgroup(P<0.05).Conclusion:Theapplicationvalueandefficacyoflaparoscopicsurgerythroughumbilicusincisioninthetreatmentofobliqueinguinalherniawasmoresignificant.【KeyWords】Pediatricobliqueinguinalhernia;Routinelaparotomy;Laparoscopicsurgerythroughumbilicusincision临床中将腹腔内脏器或组织脱离原来位置进入另一位置的情况称为疝，其中常见的疾病类型为腹股沟疝，该病具有较高的发生率[1]。腹股沟疝早期无明显的临床表现，但随着时间的推移，如发生嵌顿，患儿就会出现腹痛、呕吐等临床症状。针对腹股沟疝，目前我国临床医学多采用手术...
