两种手术方式治疗儿童隐睾的比较研究  

Clinical efficacies of different surgical approaches for cryptorchidism in children

作　　者：杨庆堂[1] 姚干[1] 梁健升[1] 吴志强[1] 张庆峰[1] 郭健童[1] 范国勇[1] 欧国昌 Yang Qingtang;YaoGan;Liang Jiansheng;Wu Zhiqiang;Zhang Qingfeng;Guo Jiantong;Fan Guoyong;Ou Guochang(Departmentof Pediatric Surgery,First Municipal People＇s Hospital,Foshan 528000,China)

机构地区：[1]佛山市第一人民医院小儿外科,广东省佛山市528000

出　　处：《临床小儿外科杂志》2018年第11期862-865,共4页Journal of Clinical Pediatric Surgery

基　　金：佛山市科技攻关项目(编号:201308087)

摘　　要：目的比较小儿隐睾经不同手术方式治疗后的临床疗效。方法选取1998年1月至2014年6月在佛山市人民医院手术治疗的隐睾患儿1 000例,按照手术方式的不同分为传统开放式手术治疗组和腹腔镜手术治疗组,比较两种手术方式治疗的临床疗效。结果腹腔镜手术治疗组术中出血量(16. 2±1. 7) m L,明显少于开放手术组的(16. 2±1. 7) m L,P <0. 05;手术时间(46. 4±6. 2) min,平均住院时间(4. 6±1. 5) d,明显短于开放手术组的(68. 1±7. 3) min和(8. 8±1. 4) d,P <0. 05;并发症的发生率为5. 2%,明显低于开放手术组的15. 6%(P <0. 05)。结论腹腔镜手术治疗儿童隐睾疗效明显,操作简便,可减轻患儿疼痛,创伤较小;可充分游离精索,减少并发症的发生;可作为儿童隐睾的重要治疗方法。Objective To compare the clinical efficacies of different surgical approaches in the treatment of cryptorchidism in children. Methods From January 1998 to June 2014,a total of 1000 cases of cryptorchidism were divided into traditional open surgery and laparoscopy groups. Results The amount of hemorrhage was （16. 2 ± 1. 7） ml in laparoscopic group versus （16. 2 ± 1. 7） ml in open surgery group （P 〈 0. 05）;operative duration： （46. 4 ± 6. 2） versus （68. 1 ± 7. 3） min and average hospitalization time： （4. 6 ± 1. 5） versus（8. 8 ± 1. 4） days （P 〈 0. 05）; complication rate： 5. 2% versus 15. 6% （P 〈 0. 05）. Conclusion For children with cryptorchidism,laparoscopy is obviously efficacious with greater handling convenience,less pain andless trauma. Fully free of spermatic cord,it may reduce the occurrences of complications,improve the level ofmedical care and lower the family burden of children. Wider clinical application is justified.

关 键 词：腹腔镜 隐睾 外科手术 治疗结果 儿童 

分 类 号：R726.9[医药卫生—儿科]