[1]蒲 娟. 不同微创术式治疗儿童腹股沟疝术后伤口恢复及外观情况比较[J].中国美容医学,2020,(3):103-105.
　PU Juan. Comparison of Wound Recovery and Appearance of Children with Inguinal HerniaTreated by Different Minimally Invasive Surgeries[J].Medical Aesthetics and Beauty,2020,(3):103-105.
点击复制

 不同微创术式治疗儿童腹股沟疝术后伤口恢复及外观情况比较
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年3期
页码:
103-105
栏目:
出版日期:
2020-04-15

文章信息/Info

Title:
 Comparison of Wound Recovery and Appearance of Children with Inguinal Hernia
Treated by Different Minimally Invasive Surgeries
文章编号:
1008-6455（2020）03-0103-03
作者:
 蒲 娟
Author(s):
 PU Juan
关键词:
 ; [关键词]腹腔镜全腹膜外腹股沟疝修补术; 腹腔镜经腹腹膜前腹股沟疝修补术; 儿童腹股沟疝; 美观度
Keywords:
 ; Key words: laparoscopic totally extraperitoneal inguinal hernia repair;  laparoscopic transabdominal preperitoneal inguinalhernia repair;  inguinal hernia in children;  aesthetic
分类号:
R656.2+1
文献标志码:
A
摘要:
[摘要]目的：探究腹腔镜全腹膜外腹股沟疝修补术（Totally extraperitoneal herniorrhaphy，TEP）与腹腔镜经腹腹膜前
腹股沟疝修补术（Transabdominal preperitoneal herniorrhaphy，TAPP）治疗儿童腹股沟疝临床效果。方法：选取56例
腹股沟疝患儿为研究对象，按照随机数表分为TEP组与TAPP组各28例，分别接受TEP、TAPP术式治疗，比较术后1h、6h、1d疼
痛程度[东大略儿童医院疼痛量表（Children’s hospital of eastern ontario pain scale，CHEOPS）]变化，分析两组围
术期基本指标、术后6个月瘢痕严重程度[温哥华瘢痕量表（Vancouver scar scale，VSS）]及并发症发生情况。结果：术
后1h，两组患儿CHEOPS评分比较差异无统计学意义（P ＞0.05）；术后6h、1d，两组患儿CHEOPS评分均较术后1h时有显著降
低，差异有统计学意义（P ＜0.05），但组间同一时间比较差异均无统计学意义（P ＞0.05）。两组患儿手术时间、术中出血
量、肛门排气时间、下床活动时间及住院时间比较差异均无统计学意义（P ＞0.05）。术后6个月，TEP组患儿VSS评分均明显
低于TAPP组（P ＜0.05），但两组患儿切口感染、尿潴留、肠梗阻、血清肿并发症发生率及腹股沟疝复发率比较差异均无统
计学意义（P ＞0.05）。结论：不同微创术式治疗小儿腹股沟疝均可取得理想疗效，但TEP相较于TAPP能减轻瘢痕严重程度，
有利于维持其局部皮肤美观。

Abstract:
Abstract: Objective To explore the clinical effects of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair and
laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair in the treatment of children with inguinal hernia.
Methods A total of 56 children with inguinal hernia were selected for the study. According to the random number table method,
the patients were divided into TEP group and TAPP group, with 28 cases in each group. They were treated with TEP and TAPP
respectively. The pain degree(Children’s hospital of eastern ontario-pain scale, CHEOPS) was compared at 1h, 6h and 1d after
surgery, and the perioperative basic indicators, severity of scars(Vancouver scar scale, VSS) and occurrence of complications
at 6 months after surgery were analyzed in the two groups. Results At 1h after surgery, there was no signifi cant difference
in CHEOPS score between the two groups(P ＞0.05). At 6h and 1d after surgery, the CHEOPS scores in the two groups were
signifi cantly lower than those at 1h after surgery (P ＜0.05). However, there was no statistically signifi cant difference between
the groups at the same time (P ＞0.05). There were no signifi cant differences in the operative time, intraoperative blood loss,
anal exhaust time, ambulation time and hospital stay between the two groups (P ＞0.05). At 6 months after operation, the VSS
scores in TEP group were signifi cantly lower than those in TAPP group (P ＜0.05), but there were no signifi cant differences in
the incidence rates of complications of incision infection, urinary retention, intestinal obstruction and seroma and recurrence
rate of inguinal hernia between the two groups (P ＞0.05). Conclusion Different minimally invasive surgeries can achieve ideal
effi cacy in the treatment of children with inguinal hernia. However, TEP can reduce the severity of scar compared with TAPP,
and it is benefi cial to maintain the local skin beauty.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(3):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(3):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(3):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(3):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(3):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(3):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(3):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(3):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(3):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(3):27.

更新日期/Last Update: 2020-04-28