腹腔镜鞘状突高位结扎术治疗小儿鞘膜积液的效果及对患儿激素水平的影响  

Effect of laparoscopic high ligation of processus vaginalis in the treatment of children with hydrocele and its influence on hormones levels

作　　者：张莹楠 张贝克[1] 王瑛 Zhang Yingnan;Zhang Beike;Wang Ying(Department of Pediatric Surgery,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院小儿外科,洛阳471000

出　　处：《中国实用医刊》2025年第3期9-12,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨腹腔镜鞘状突高位结扎术治疗小儿鞘膜积液的效果及对患儿激素水平的影响。方法队列研究。抽取2021年1月至2023年12月河南科技大学第一附属医院收治的鞘膜积液患儿88例,按随机数字表法分为传统组和腹腔镜组,每组44例。传统组采用传统鞘状突高位结扎术治疗,腹腔镜组采用腹腔镜鞘状突高位结扎术治疗。比较两组围术期指标、视觉模拟评分法(VAS)评分、激素[孕酮(P)、生长激素(GH)、雌二醇(E2)]水平及并发症发生情况。结果腹腔镜组术中出血量少于传统组,住院时间短于传统组(P<0.05)。术后7 d,腹腔镜组VAS评分低于传统组(P<0.05)。术后7 d,腹腔镜组P、GH、E2水平均低于传统组(P均<0.05)。腹腔镜组并发症发生率(4.55%,2/44)低于传统组(18.18%,8/44),P<0.05。结论鞘膜积液患儿采用腹腔镜鞘状突高位结扎术治疗的效果明显,对激素水平的影响较小,能减轻疼痛症状,减少术中出血量,促进患儿术后恢复,且安全性良好。Objective To investigate the effect of laparoscopic high ligation of processus vaginalis in the treatment of children with hydrocele,and to analyze its effect on hormone levels.MethodsA total of 88 children with hydrocele admitted to the First Affiliated Hospital of Henan University of Science and Technology from January 2021 to December 2023 were selected for the cohort study,and they were divided into the traditional group and the laparoscopic group according to random number table method,with 44 cases in each group.The traditional group was treated by traditional high ligation of processus vaginalis,and the laparoscopic group was treated by laparoscopic high ligation of processus vaginalis.The perioperative indexes,visual analogue scale(VAS)score,levels of hormones,including progesterone(P),growth hormone(GH)and estradiol(E2),and incidence of complications were compared between the two groups.ResultsThe intraoperative blood loss in the laparoscopic group was less than that in the traditional group,and the hospital stay was shorter than that in the traditional group(P<0.05).At 7 days after operation,the VAS score of the laparoscopic group was lower than that of the traditional group(P<0.05).At 7 days after operation,the levels of P,GH and E2 in the laparoscopic group were lower than those in the traditional group(all P<0.05).The incidence of complications in the laparoscopic group(4.55%,2/44)was lower than that in the traditional group(18.18%,8/44),P<0.05.ConclusionsLaparoscopic high ligation of processus vaginalis has obvious therapeutic effects on children with hydrocele,and it has little influence on hormones levels.It can relieve pain symptoms,reduce intraoperative blood loss,and promote postoperative recovery of children,with good safety.

关 键 词：腹腔镜 鞘膜积液 鞘状突高位结扎术 激素水平 

分 类 号：R726.9[医药卫生—儿科]