頁籤選單縮合
題名 | Miniincision for Pediatric Inguinal Herniorraphy=以迷你傷口作小兒腹股溝疝氣修補術 |
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作者 | 賴鴻緒; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 31:3 民87.05-06 |
頁次 | 頁159-165 |
分類號 | 417.62491 |
關鍵詞 | 迷你傷口; 小兒腹股溝疝氣修補術; Inguinal hernia; Herniorraphy; Miniincision; Children; |
語文 | 英文(English) |
中文摘要 | 本論文之目的在評估以迷你傷口作兒童腹股溝疝氣修補術之可行性。臺大醫院外 科部於 1995 年 4 月至 1997 年 3 月間, 作腹股溝疝氣修補手術的兒童病患共有 142 人 ,包括男孩 112 人女孩 30 人等,年齡在 1 至 10 歲之間,依隨機採樣方式分為二組:一 組為大約 2 至 3 公分傳統傷口之手術( CONI ),另一組為小於 1 公分迷你傷口( MINI )之手術。其中 COMI 組共有 76 人(男孩 60 人,女孩 16 人)共接受 96 處疝氣修補手 術,MINI 組則有 66 人(男孩 52 人,女孩 14 人)共接受 80 處疝氣修補手術。 統計結 果, CONI 組之手術時間平均為 12 分 51 秒± 7 分 12 秒(男孩為 15 分 14 秒± 4 分 12 秒, 女孩 6 分 10 秒± 2 分 14 秒),MINI 組則為 16 分 27 秒± 6 分 30 秒(男 孩為 18 分 42 秒± 6 分 18 秒,女孩為 9 分 11 秒± 2 分 26 秒),MINI 組手術時間 稍久,但統計上並無明顯差異。兩組病童住院日均為 0 至 3 天。傷口疼痛日數則 MINI 組 較短( 1.0 ± 0.2 天),CONI 組較長( 2.2 ± 0.4 天)。CONI 組病患中有一位併發術 後傷口發炎,及一位傷口血腫塊,沒有人復發疝氣。 MINI 組病患則無術後併發症,亦無復 發現象。 長久追蹤後,傷口之美觀度以 MINI 組較佳。本統計結果建議,以小於 1 公分之 迷你傷口作兒童腹股溝疝氣修補術為可行方法之一。 |
英文摘要 | This paper is to evaluate the feasibility of miniincisional herniorraphy in children with inguinal hernia. The investigation was carried out on 142 pediatric patients, 112 boys and 30 girls, with ages between one to ten years, who underwent inguinal herniorraphy in Department of Surgery, National Taiwan University Hospital, from April 1995 to March 1997. The patients were randomly catagorized into two groups: the first, where herniorraphy was performed through a conventional incision (CONI); and the other, where surgery was through a miniincision (MINI). In CONI group patients, a transverse incision along the skin crease at the inguinal area, about 2 to 3 cm in length, was made. In MINI group patients, a transverse miniincision, less than 1 cm long, just above the silk sign region was made. The operation time, hospital stay, pain duration, complication and recurrence were analyzed and compared between these two groups. The total hernia numbers were 96 in the 76 CONI group patients (60 boys and 16 girls) and 80 in the 66 MINI group patients (52 boys and 14 girls). The average operation time for CONI group patients was 12 min 51 sec ± 7 min 12 sec (15 min 14 sec ± 4 min 12 sec in boys and 6 min 10 sec ± 2 min 14 sec in girls). The average operation time for MINI group patients was 16 min 27 sec ± 6 min 30 sec (18 min 42 sec ± 6 min 18 sec in boys and 9 min 11 sec ± 2 min 26 sec in girls). It seems MINI group took a longer operation time than CONI group. However, there was no significant difference between these two groups. The length of hospital stay was the same for both. The pain duration was shorter in MINI group (1.0 ± 0.2 vs 2.2 ± 0.4 days). There was one wound infection, one wound hematoma, and no recurrence in CONI group patients. No operative complications or recurrence were noted in MINI group patients. The long-term cosmetic results were much better in MINI group patients, whose scars were nearly invisible. It is suggested that miniincisional herniorraphy is feasible and recommended for children with inguinal hernia. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。