摘要
目的探讨小儿腹股沟区隐睾分别应用腹股沟横行小切口及腹腔镜下睾丸下降固定术的治疗效果比较。方法将2017年4月-2018年4月因小儿腹股沟区隐睾于上海复旦大学附属儿科医院行手术治疗的90例患者纳入研究并随机分组。对照组45例采用腹股沟横行小切口睾丸下降固定术治疗,观察组45例采用腹腔镜下睾丸下降固定术,比较两组患者手术效果差异。结果术后第5天时观察组超敏C反应蛋白(hs-CRP)及前列腺素E2(PGE2)低于对照组,差异具统计学意义(P<0.05);两组手术时间无显著差异,但观察组术中出血量更少(P<0.05);观察组术后并发症发生率15.56%(7/45),对照组22.22%(10/45),差异无统计学意义(P<0.05)。结论对于腹股沟区隐睾患儿而言,腹腔镜下睾丸下降固定术有创伤小优势,值得推广。
Objective To compare the therapeutic effects of transverse inguinal mini-incision and laparoscopic testicular descent fixation for cryptorchidism in children.Methods From April 2017 to April 2018,90 children with cryptorchidism in the inguinal region who underwent surgery in the Pediatric Hospital Affiliated to Shanghai Fudan University were randomly divided into two groups.45 cases in the control group were treated with transverse small incision testicular descent fixation,while 45 cases in the observation group were treated with laparoscopic testicular descent fixation.Results The levels of hs-CRP and PGE2 in the observation group were significantly lower than those in the control group on the 5th day after operation ( P <0.05),and there was no significant difference in operation time between the two groups,but the amount of bleeding in the observation group was less ( P <0.05);the incidence of postoperative complications in the observation group was 15.56%(7/45) and that in the control group was 22.22%.%(10/45),the difference was not statistically significant ( P <0.05).Conclusion Laparoscopic testicular descent fixation is a minimally invasive technique for children with inguinal cryptorchidism,and it is worth promotion.
作者
王江华
庄利铠
王翔
WANG Jianghua;ZHUANG Likai;WANG Xiang(Department of Urology,Jiangxi Children's Hospital,Nanchang 330006,China)
出处
《现代医院》
2019年第10期1485-1487,共3页
Modern Hospitals
基金
江西省卫生计生委科技计划项目(编号:20185456)
