改良单孔腹腔镜与传统开放手术治疗儿童鞘状突未闭的疗效对比  

Comparing efficacy of modified single-port laparoscopy and conventional open surgery in the treatment of patent processus vaginalis in children

作　　者：高军平[1] 梁万强[1] 梁贤龙 韦振思 陆俞锦 彭明展 GAO Jun-ping;LIANG Wan-qiang;LIANG Xian-long(Department of General Surgery,Wuxiang Hospital of the Nanning Second People's Hospital,Nanning 530219,China)

机构地区：[1]南宁市第二人民医院五象医院普外科,530219

出　　处：《中国现代药物应用》2023年第2期46-49,共4页Chinese Journal of Modern Drug Application

基　　金：南宁市科学研究与技术开发计划(项目编号:zc20203006)。

摘　　要：目的对比改良单孔腹腔镜与传统手术治疗儿童鞘状突未闭(PPV)的疗效。方法152例PPV患儿,根据手术方法不同分为对照组和研究组,每组76例。对照组患儿采用传统开放手术治疗,研究组患儿采用改良单孔腹腔镜手术治疗。比较两组患儿手术时间、术中出血量、术后住院时间、术后阴囊肿胀及切口瘢痕发生情况、术后满意率、术后复发情况。结果研究组患儿手术时间(32.1±4.0)min、术后住院时间(4.2±0.8)d短于对照组的(58.4±5.8)min、(6.2±1.1)d,术中出血量(2.2±0.4)ml少于对照组的(20.9±1.4)ml,差异具有统计学意义(P<0.05)。研究组患儿术后阴囊肿胀、切口瘢痕发生率分别为1.3%、0,均显著低于对照组的15.8%、5.3%,差异具有统计学意义(P<0.05);两组术后满意率比较差异无统计学意义(P>0.05)。两组术后复发率均为1.3%(1/76),比较差异无统计学意义(P>0.05)。结论相比于传统开放手术,改良单孔腹腔镜手术治疗PPV患儿安全、有效、恢复快,且具有发现并同时治疗对侧隐性PPV的优点。Objective To compare the efficacy of modified single-port laparoscopy and conventional open surgery in the treatment of patent processus vaginalis(PPV)in children.Methods A total of 152 children with PPV were divided into a control group and a research group according to different surgical methods,with 76 cases in each group.Children in the control group were treated by conventional open surgery,and children in the research group were treated by modified single-port laparoscopic surgery.Both groups were compared in terms of operative time,intraoperative blood loss,postoperative hospital stay,occurrence of postoperative scrotal swelling and incisional scar,postoperative satisfaction rate,and postoperative recurrence.Results The operative time(32.1±4.0)min and postoperative hospital stay(4.2±0.8)d of the children in the research group were shorter than(58.4±5.8)min and(6.2±1.1)d in the control group;the intraoperative blood loss(2.2±0.4)ml in the research group was less than(20.9±1.4)ml in the control group;the differences were statistically significant(P<0.05).The incidence of postoperative scrotal swelling and incisional scar in the research group were 1.3%and 0,which were significantly lower than 15.8%and 5.3%in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the postoperative satisfaction rate between the two groups(P>0.05).The postoperative recurrence rate in both groups was 1.3%(1/76),and the difference was not statistically significant(P>0.05).Conclusion Compared with conventional open surgery,modified singleport laparoscopic surgery for children with PPV is safe,effective,and has the advantage of simultaneous detection and treatment of contralateral recessive PPV.

关 键 词：改良单孔腹腔镜手术 儿童 鞘状突未闭 传统开放手术 疗效 

分 类 号：R726.5[医药卫生—儿科]