儿科 laparoscopic 和 laparoscopically 辅助 inguinal Hernia 修复的比较有效性:随机对照试验的系统审查和元分析
Medhat Taha1,2, Zahra Belghiath Alsayed1, Alhanouf Abdullah Almuhalbidi3
1Al-Qunfudhah College of Medicine and Surgery, Umm Al-Qura University, Al Qunfudhah, SAU.
Cureus
|February 2, 2026
概括
在儿童中,腹腔镜 inguinal hernia修复 (LIHR) 和腹腔镜辅助 inguinal hernia修复 (LAIHR) 的安全性和疗效相似. 这两种最小侵入性技术都提供较低的复发率和并发症率,LAIHR可能提供更好的化品结果.
科学领域:
- 儿科手术 儿科手术
- 最少侵入性的手术
- 手术结果研究研究.
背景情况:
- 阴带修复是一种常见的儿科手术程序.
- 像LIHR和LAIHR这样的最小侵入性技术被广泛使用,但它们的比较有效性需要进一步研究.
研究的目的:
- 系统地审查和元分析随机对照试验,比较儿科患者的LIHR和LAIHR.
- 评估这两种手术方法的疗效,安全性和并发症概况.
主要方法:
- 在PubMed,Embase,Scopus,Web of Science和CENTRAL的系统文献搜索到2025年3月.
- 包括16项随机对照试验,涉及1,402名儿科患者.
- 使用随机效应模型进行元分析,以比较的复发,手术持续时间,过渡性水,伤口并发症和恢复结果.
主要成果:
- 在的复发率 (LIHR: 1.9%,LAIHR: 0.7%) 或过渡性水细胞和伤口感染率中没有显著差异.
- 操作时间的极端异质性 (I2 = 100%) 排除了有意义的聚合比较,表明技术和中心特定的变化.
- LIHR和LAIHR都显示出出色的安全性和低的并发症率,一些研究表明LAIHR的早期恢复和美容满意度更好.
结论:
- LIHR和LAIHR对于儿科 inguinal hernia修复都是安全有效的,复发率和并发症率相似.
- 操作时间不是技术之间的区分因素,但高度依赖于上下文.
- 在特定情况下,LAIHR可能会在手术时间和审美结果方面提供优势,而技术的选择取决于患者的需求,外科医生的专业知识和机构资源.
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