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1、小切口治疗小儿疝气的临床效果doi：10.3969/j.issn.1007-614x.2014.20.57摘要目的：探讨小切口治疗小儿疝气的临床效果。方法：2010年1月-2012年12月收治小儿疝气患者126例，随机分为观察组和对照组各63例。观察组采用小切口治疗，対照组采用传统手术治疗。观察两组治疗呛咳的效果。结果:观察组治愈49例(77.78%),对照组治愈37例(58.73%),两组对比结果差异具有统计学意义(P<0.05)o且观察组治疗总有效率达到96.83%,明显优于对照组，差异具有统计学意义(P〈0・05)。在临床指标上，观察组手术时间、住
2、院时间都明显短于对照组，差异有统计学意义(P<0.05),且观察组术中出血量也较对照组少(P〈0・05),切口长度也明显短于对照组(P〈0.05)。另外，观察组仅发生1例并发症(1.59%),对照组发生6例(9.52%)并发症，两组对比差异具有统计学意义(P<0.05)o结论：采用小切口治疗方法治疗小儿疝气能有效缩短治疗时间和康复时间，减少患儿痛苦，并能有效减少并发症的发生，促进患儿的康复。关键词小切口小儿疝气疗效ExplorationoftheclinicaleffectofsmallincisiontotreatinfantileherniaWuFa
3、youPojiCenterHospitalofZhenxiongCounty,ZhaotongCity,Yunnan657000AbstractObjective：Toexploretheclinicaleffectofsmallincisiontotreatinfantilehernia.Methods：126infantileherniacaseswereselectedfromJanuary2010toDecember2012・Theywererandomlydividedintotheobservationgroupandthecontrolgr
4、oupwith63casesineach・Theobservationgroupweretreatedwithsmallincision.Thecontrolgroupweretreatedwithtraditionaloperation.ResuIts：Intheobservationgroup,49cases(77・78%)werecured.Inthecontrolgroup,37cases(58.73%)worecured.Thediffereneewasstatisticallysignificant(P<0.05).Thetotaleffic
5、iencyoftheobservationgroupwas96.83%,betterthanthatofthecontrolgroup,andthediffereneewasstatisticallysignificant(P〈0.05)・Intheobservationgroup,operationtime,hospitalizationtimewereallsignificantlyshorterthanthatofthecontrolgroup,andthediffereneewasstatisticallysignificant(P<0・05)・
6、Intheobservationgroup,theamountofbleedingwaslowerthanthatofthecontrolgroup(P<0.05)•Thelengthofincisionwassignificantlyshorterthanthatofthecontrolgroup(P<0.05)・Inaddition,intheobservationgroup,1case(1.59%)occurredcomplications.Inthecontrolgroup,6cases(9.52%)hadcomplications.Thedif
7、ferencewasstatisticallysignificant(P<0.05).Conclusion：Theapplicationofsmallincisioninthetreatmentofinfantileherniacaneffectivelyshortenthetreatmenttimeandrecoverytime,andreducethepainofpatients.Itcaneffectivelyreducetheincidenceofcomplications,andpromotetherehabilitationofchildre
8、n.KeywordsSmal1incision；Infantilehernia；
