摘要
目的:探讨腹腔镜治疗小儿非腹腔型隐睾的临床疗效及临床意义。方法:将69例非腹腔型隐睾患儿随机分为腹腔镜组(35例)与开放组(34例),以手术时间、术中出血量、术后住院时间、术前及术后6个月睾丸体积、睾酮(T)、卵泡生成激素(FSH)、黄体生成激素(LH)及雌二醇(E2)水平作为疗效判定指标。结果:与治疗前相比,治疗后两组患儿睾丸体积与血清LH水平无显著变化(P>0.05),血清T水平明显升高(P<0.05),血清FSH、E2明显下降(P<0.05)。两组患儿间睾丸体积、T、FSH、LH、E2差异均无统计学意义(P>0.05);腹腔镜组术中出血量、手术时间、术后住院时间分别为(4.8±1.2)ml、(42.5±6.3)min、(4.4±1.1)d,均显著优于开放组(P<0.05)。结论:对于非腹腔型隐睾,腹腔镜手术具有定位准确、损伤小、精索游离充分、手术成功率高、术后并发症少等特点,且住院时间、手术时间、术中出血等均明显减少,睾丸回缩等严重并发症减少,可作为手术治疗小儿非腹腔型隐睾的常规术式。
Objective：To evaluate the clinical effect and discuss the clinical significance of laparoscopic surgery on children with non-abdominal cryptorchidism. Methods： Sixty-nine children with non-abdominal cryptorchidism were divided into laparoscopic surgery group （35 cases） and open surgery group （34 cases）. The operation time,intraoperative blood loss, postoperative hospital stay, testicular volume before surgery and after surgery for six months, testosterone （T） ,follicle-stimulating hormone （FSH） ,luteinizing hor- mone （LH） and estradiol （ E2 ） level were observed. Results ： The testicular volume and serum LH level were not significantly changed compared to before surgery （P 〉 0.05 ）. Serum FSH, E2 level were significantly decreased and serum T level was significantly increased compared to before surgery （ P 〈 0.05 ）. Testicular volume, serum hormone levels （ T, FSH, LH, E2 ） of two groups were not significantly different. The amount of bleeding,operation time,postoperative hospital stay were （4.8 ± 1.2） ml, （42.5 ±6.3） rain, （4.4 ± 1.1 ） d, respectively, they were significantly less than those in open surgery group （ P 〈 0.05 ）. Conclusions ： Laparoscopic surgery has obvious advantages on children with non-abdominal cryptorchidism,such as precise location, few trauma and complications （testicular retrac- tion）, adequate separation of spermatie cord, high success rate of operations, short hospital stay and operative time,little blood loss, and it can be served as routine operation.
出处
《腹腔镜外科杂志》
2013年第7期545-547,共3页
Journal of Laparoscopic Surgery
