手术技术在儿科沟修复中对术后水细胞形成起到作用吗?
Stephanie F Brierley1, Brielle Ochoa, Kathleen Heller
1Division of Pediatric Surgery, Department of Surgery, Phoenix Children's, Phoenix, AZ.
Journal of the American College of Surgeons
|February 19, 2026
概括
儿科 inguinal hernia 修复 (IHR) 后的术后水发病率在开放式和腹腔镜方法中都很低 (<0.5%). 留下囊的地方不会增加水风险,使其常规切除不必要.
科学领域:
- 儿科手术 儿科手术
- 外科手术的结果
- 椎间板裂修复 椎间板裂修复
背景情况:
- 儿科 inguinal hernia修复 (IHR) 后的术后水形成是一个问题,但手术技术的影响仍然不清楚.
- 这项研究调查了与外科手术方法和远端囊管理相关的水发病率.
研究的目的:
- 为了比较腹腔镜和开放儿科IHR之间的术后水发病率.
- 评估远端囊切除对水细胞发育的影响.
主要方法:
- 一项多中心回顾性队列研究包括8305名男性患者,年龄≤18岁,接受IHR.
- 排除标准包括密码,滑动或网状修复.
- 主要结局是需要干预的水,比较腹腔镜与开放修复 (p<0.05).
主要成果:
- 需要干预的水发生在0.3%的患者身上.
- 在开放式 (0.2%) 和腹腔镜 (0.3%) 修复 (p=0.467) 之间没有观察到水病率的显著差异.
- 在修复过程中切除远端囊并没有与术后水的发病率较低相关 (p=0.563).
结论:
- 在腹腔镜和开放的儿科IHR中,术后水发病率很低 (<0.5%).
- 远端囊的常规切除不需要防止水细胞的形成.
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