腹腔镜手术在小儿腹腔型隐睾治疗中的应用研究  

Study on the Application of Laparoscopic Surgery in the Treatment of Peritoneal Cryptorchidism in Children

作　　者：侯发杰 HOU Fa-jie(Department of Pediatric Surgery,Yinan County People's Hospital,Yinan,Shandong Province,276300 C)

机构地区：[1]沂南县人民医院小儿外科,山东沂南276300

出　　处：《系统医学》2020年第12期12-14,共3页Systems Medicine

摘　　要：目的分析腹腔镜手术在小儿腹腔型隐睾的治疗应用效果。方法随机选取该院于2017年4月—2019年4月,此2年时间段内收治的腹腔型隐睾患儿共84例,将所有患儿按照双盲法随机分为观察组(42例,采用腹腔镜手术治疗)与对照组(42例,采用常规手术方法治疗)。分析比对两组患儿治疗后治疗效果情况。结果经过治疗后,观察组患儿治疗有效率(97.6%)较对照组患儿(85.7%)更高(χ^2=3.896,P=0.048),且前者术中出血量、手术时间、术后住院时间均较后者更低(t=18.240、11.079、10.192,P=0.001、0.001、0.001),组间差异有统计学意义(P<0.05)。结论通过腹腔镜手术治疗小儿腹腔型隐睾,可有效提升治疗效果,改善患儿术中出血量、手术时间,缩短术后住院时间,促进患儿恢复,是一种具有较高实际应用价值的治疗方法。Objective To analyze the effect of laparoscopic surgery in the treatment of peritoneal cryptorchidism in children. Methods A total of 84 children with abdominal cryptorchidism admitted in the hospital from April 2017 to April 2019 were randomly selected and randomly divided into observation groups(42 cases, using laparoscopic surgery)and the control group(42 cases, using conventional surgical methods) according to the double-blind method. Analysis and comparison of the treatment effect of the two groups of children after treatment. Results After treatment, the effective rate of treatment in the observation group(97.6%) was higher than that in the control group(85.7%)(χ^2=3.896,P=0.048), and the former had intraoperative blood loss, operation time, and postoperative hospitalization time was lower than the latter(t=18.240,11.079,10.192, P=0.001, 0.001, 0.001), and the difference between the groups was statistically significant(P<0.05). Conclusion The treatment of pediatric abdominal cryptorchidism through laparoscopic surgery can effectively improve the treatment effect, improve the intraoperative blood loss and operation time, shorten the postoperative hospital stay, and promote the recovery of children. It is a treatment method with high practical application value.

关 键 词：腹腔镜手术 小儿腹腔型隐睾 应用价值 

分 类 号：R726.9[医药卫生—儿科]