Mehran Peyvaste, S. Askarpour, Shaghayegh Sherafatmand, Mazdak Toghyani Dolatabadi
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引用次数: 0
摘要
儿童腹股沟斜疝是由于阴道突开口,脏器进入而引起的。目的比较腹腔镜疝手术与开放疝术后并发症及复发率。方法:在本病例对照研究中,2018-2020年接受腹腔镜和开放式手术的患者。数据从基于变量性别、年龄、感染率、副作用、鞘膜积液率、疤痕长度、睾丸肿胀率、发生率和复发率的检查表中提取。结果:共检查261例患者。结果显示,两种手术方式的手术时间差异有统计学意义(Z = -9.903, p < 0.001)。复发率与手术方式有显著的统计学关系(p = 0.021)。研究中没有一例患者在手术后出现阳性感染、阳性鞘膜积液和阳性睾丸肿胀。结论:两种方法都是安全的,可根据患者的情况选择。建议进行进一步的临床研究来评估和比较这两种手术方法。
Comparison of the complications and recurrence rate after herniorrhaphy by open and laparoscopic methods in pediatric patients: A case-control study
Introduction: Indirect inguinal hernias in children are causing by the opening of the vaginal process and the entry of viscera into it. To compare the rate of complications and recurrence after open and laparoscopic hernia surgery. Methods: In this case-control study, the patients who underwent surgery by laparoscopic and open methods for 2018-2020 years. The data were extracted from a checklist based on the variables sex, age, infection rate, side effect, hydrocele rate, scar length, testicular swelling rate, and rate and recurrence. Results: A total of 261 patients were examined. The results showed that there was a statistically significant difference between the time of surgery in both surgical methods (Z = -9.903, p < 0.001). There is a significant statistical relationship between recurrence and surgical procedure (p = 0.021). None of the patients in the study had a positive infection, positive hydrocele, and positive testicular swelling after surgery. Conclusion: Both methods are safe that can be selected according to the patient's condition. It is recommended that further clinical studies be performed to evaluate and compare these two surgical procedures.