腹腔镜下腹膜外结扎术对儿童输精管走向、睾丸容积及血供的影响  

Laparoscopic percutaneous extraperitoneal closure does not affect vas deferens orientation or testicular volume and perfusion

作　　者：徐乐[1] 黎灿强[1] 陈晓东[1] 邱敏捷[1] 蒋杰宏[1] 姚聪[1] 何伟成[1] 杨毅[1] 陈冠星 单海涛[1] XU Le LI Can-qiang CHEN Xiao-dong QIU Min-jie JIANG Jie-hong YAO Cong HE Wei-cheng YANG Yi CHEN Guan-xing SHAN Hai-tao(Department of Pediatric Urologic Surgery, He Xian Memorial Hospital Affiliated to Southern Medical University, Guangzhou, Guangdong 510000, China)

机构地区：[1]南方医科大学附属何贤纪念医院小儿泌尿外科,广东广州510000

出　　处：《中华男科学杂志》2017年第5期427-430,共4页National Journal of Andrology

摘　　要：目的:研究单孔腹腔镜下经皮腹膜外结扎术(LPEC)治疗小儿交通性鞘膜积液对输精管走向、睾丸容积及血供的影响。方法:2013年6月至2014年6月,共有92例男性患儿,术前诊断为单侧交通性鞘膜积液,行单孔LPEC。术前、术后1个月和6个月通过超声了解输精管走向、睾丸容积及血供。结果:所有手术均获得成功,无中转开放手术,无严重围手术期并发症。术后随访6个月,超声检查提示均无输精管扭转及绞窄,睾丸容积及血供较术前无改变(P>0.05)。结论:单孔LPEC治疗小儿交通性鞘膜积液安全有效,对输精管发育和睾丸容积、血供均无影响。Objective： To investigate the influence of single-port laparoscopic percutaneous extraperitoneal closure （LPEC） on the orientation of the vas deferens and the volume and perfusion of the testis in pediatric patients undergoing inguinal hernia repair. Methods ： A total of 92 consecutively enrolled boys diagnosed with unilateral inguinal hernia underwent single-port LPEC between June 2013 and June 2014. The orientation of the vas deferens and the testicular volume and perfusion of the patients were uhrasonographical- ly assessed preoperatively and at 1 and 6 months after surgery. Results ： All the surgical procedures were performed successfully with- Out conversion or serious perioperative complications. Ultrasonography showed no angulation or distortion of the vas deferens on the sur- gical side during a six-month follow-up period. Similarly, no obvious changes were observed in the testicular volume or perfusion. Conclusion ： Single-port LPEC is safe and effective in the treatment of pediatric inguinal hernia and does not affect the orientation of the vas deferens or testicular volume and perfusion.

关 键 词：小儿交通性鞘膜积液 超声 腹腔镜经皮腹膜外结扎术 

分 类 号：R726.9[医药卫生—儿科]