三孔腹腔镜睾丸下降固定术治疗儿童腹股沟区隐睾的疗效及安全性  

Efficacy and safety of three-port laparoscopy combined with testicular descent fixation in the treatment of children with inguinal cryptorchidism

作　　者：刘月月 涂磊 赵夭望 刘雨杭 Liu Yueyue;Tu Lei;Zhao Yaowang;Liu Yuhang(Department of Urology,the Affiliated Children′s Hospital of Xiangya School of Medicine,Central South University(Hunan Children′s Hospital),Changsha 410000,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院(湖南省儿童医院)泌尿外科,长沙410000

出　　处：《国际泌尿系统杂志》2024年第6期1117-1121,共5页International Journal of Urology and Nephrology

基　　金：湖南省儿童泌尿生殖疾病临床医学研究中心(2021SK4017)。

摘　　要：目的探讨三孔腹腔镜睾丸下降固定术治疗儿童腹股沟区隐睾的疗效及安全性。方法回顾性分析本院2022年1月至2022年6月期间收治的104例儿童腹股沟区隐睾患儿的临床资料,根据不同治疗方法将患儿分为腹腔镜组与常规组,每组各52例。其中腹腔镜组采用三孔腹腔镜睾丸下降固定术治疗,常规组采用常规开放手术治疗。比较两组患儿的手术时间、术中出血量、住院时间、Ⅰ期手术完成率,术前、术后24 h中性粒细胞、淋巴细胞变化及术后并发症情况,随访6个月观察两组患儿的睾丸发育状况。结果腹腔镜组患儿的手术时间长于常规组,术中出血量少于常规组,住院时间短于常规组(均P<0.05);两组患儿的Ⅰ期手术完成率比较,差异无统计学意义(P>0.05);两组患儿术前、术后24 h中性粒细胞、淋巴细胞水平比较,差异无统计学意义(均P>0.05);腹腔镜组患儿的术后感染、切口液化、阴囊水肿、睾丸回缩等并发症总发生率为1.92%(1/52),低于常规组[13.46%(7/52)],差异有统计学意义(P<0.05);两组患儿出院6个月后的睾丸容积均较术前升高(均P<0.05),但两组出院6个月后的睾丸容积比较,组间差异无统计学意义(P>0.05)。结论三孔腹腔镜睾丸下降固定术治疗儿童腹股沟区隐睾的效果满意,术中出血量少,术后住院时间短,并发症少,但相较于常规开放手术,三孔腹腔镜睾丸下降固定术的手术时间更长,需根据患者具体情况选择最适合的手术方案。ObjectiveTo investigate the efficacy and safety of three-port laparoscopy combined with testicular descent fixation in the treatment of children with inguinal cryptorchidism.MethodsThe clinical data of 104 pediatric patients with inguinal cryptorchidism,who were admitted to our hospital between January 2022 and June 2022,were retrospectively analyzed.Based on the different treatment modalities,the patients were divided into two groups:laparoscopic group(52 cases)and conventional group(52 cases).The laparoscopic group underwent three-port laparoscopic testicular descent fixation,while the conventional group received traditional open surgery.The operative duration,intraoperative blood loss,length of hospitalization,completion rate of stageⅠsurgery,changes in neutrophil and lymphocyte levels before and 24 hours after surgery,as well as postoperative complications were compared between the two groups.The testicular development of both groups was observed during a 6-month follow-up period.ResultsThe laparoscopic group had a longer operation time compared to the conventional group,while experiencing less intraoperative blood loss and shorter hospital stays(all P<0.05).There was no significant difference in the completion rate of phaseⅠsurgery between the two groups(P>0.05).No significant differences were observed in neutrophil and lymphocyte levels between the two groups before and 24 hours after surgery(P>0.05).The total incidence of postoperative infection,incision liquefaction,scrotal edema,and testicular retraction in the laparoscopic group was 1.92%(1/52),which was significantly lower than that in the conventional group[13.46%(7/52)](P<0.05).Both groups showed an increase in testicular volume after 6 months of discharge compared to before surgery(all P<0.05),with no statistical significance observed between the two groups after 6 months of discharge(P>0.05).ConclusionsThe outcomes of three-port laparoscopy combined with testicular descent fixation in the treatment of children with inguinal cryptorchidism are s

关 键 词：隐睾 儿童 睾丸下降固定术 腹腔镜检查 

分 类 号：R726.9[医药卫生—儿科]