腹腔镜与开腹小儿睾丸下降固定术对机体炎症反应的影响  

Contrast of inflammatory response after opening and laparoscope-guided cryptorchidopexy for cryptorchidism children

作　　者：于文涛[1] 穆林松[1] 苏海龙[1] 林洋[1] 

机构地区：[1]青岛大学附属烟台毓璜顶医院小儿外科,烟台264000

出　　处：《中华实验外科杂志》2011年第12期2234-2236,共3页Chinese Journal of Experimental Surgery

摘　　要：目的观察腹腔镜下小儿睾丸下降固定术在手术治疗小儿隐睾中的作用。方法测定腹腔镜下与传统开放睾丸下降固定术两组术前和术后血清白细胞介素（IL）石、肿瘤坏死因子（TNF）-a和C反应蛋白（CRP）的水平并进行比较，同时比较两组患儿手术时间、术后并发症及住院时间。结果腹腔镜手术组创伤程度及炎症反应低于开放手术组（P〈0．05），并发症、住院时间少于开放手术组（P〈0．05）。平均手术时间、术后排气时间两组差异无统计学意义（P〉0．05）。结论腹腔镜下睾丸下降固定术比开放手术具有明显优势。Objective To explore the clinic value of opening and laparoseope-guided eryptorehidopexy for eryptorehidism children. Methyls interleukin （IL） -6, tumor necrosis factor （TNF） -a and C-reactive protein （CRP） were checked before and after opreations which eryptorehidism children by laparoseopy and those by open operation. Meanwhile the targets were compared between the two operations in operation time, postoperative complications and length of stay. Results The degree of injury and the inflammatory reaction were lighter and the length of stay was shorter by laparoscopy than those by open operation（P 〈0. 05）. The operation time and gas time are equal between the two operations（P 〉0. 05）. Concluslon Cryptorchidopexy by laparoscopy for children has more advantages than that by open operation.

关 键 词：隐睾 儿童 腹腔镜 炎症反应 

分 类 号：R726[医药卫生—儿科]