[1]杨庆堂,姚干,梁健升,等. 两种手术方式治疗儿童隐睾的比较研究[J].临床小儿外科杂志,2018,17(11):862-865.
　Yang Qingtang,Yao Gan,Liang Jiansheng,et al. Clinical efficacies of different surgical approaches for cryptorchidism in children.[J].Journal of Clinical Pediatric Surgery,2018,17(11):862-865.
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 两种手术方式治疗儿童隐睾的比较研究

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年11期 页码: 862-865 栏目: 论著 出版日期: 2018-11-20
Title:
 Clinical efficacies of different surgical approaches for cryptorchidism in children.
作者:
 杨庆堂; 姚干; 梁健升; 等.
 佛山市第一人民医院小儿外科
Author(s):
 Yang Qingtang; Yao Gan; Liang Jiansheng; Wu Zhiqiang; Zhang Qingfeng; Guo Jiantong; Fan Guoyong; Ou Guochang.
 Department of Pediatric Surgery,First Municipal Peoples Hospital,Foshan 528000,China.
关键词:
 ; 腹腔镜;  隐睾;  外科手术;  治疗结果;  儿童
Keywords:
 ; Laparoscopy;  Cryptorchidism;  Surgical Procedures;  Operative;  Treatment Outcome;  Child
文献标志码:
A
摘要:
 目的比较小儿隐睾经不同手术方式治疗后的临床疗效。方法选取1998年1月至2014年6月在佛山市人民医院手术治疗的隐睾患儿1 000例，按照手术方式的不同分为传统开放式手术治疗组和腹腔镜手术治疗组，比较两种手术方式治疗的临床疗效。 结果腹腔镜手术治疗组术中出血量（16.2±1.7）mL,明显少于开放手术组的（16.2±1.7）mL，P<0.05；手术时间（46.4±6.2）min，平均住院时间（4.6±1.5）d，明显短于开放手术组的（68.1±7.3）min和（8.8±1.4）d，P<0.05；并发症的发生率为5.2%，明显低于开放手术组的15.6%(P<0.05)。结论腹腔镜手术治疗儿童隐睾疗效明显，操作简便，可减轻患儿疼痛，创伤较小；可充分游离精索，减少并发症的发生；可作为儿童隐睾的重要治疗方法。
Abstract:
 ObjectiveTo compare the clinical efficacies of different surgical approaches in the treatment of cryptorchidism in children.MethodsFrom January 1998 to June 2014,a total of 1000 cases of cryptorchidism were divided into traditional open surgery and laparoscopy groups.ResultsThe amount of hemorrhage was (16.2±1.7) ml in laparoscopic group versus (16.2±1.7) ml in open surgery group (P<0.05); operative duration: (46.4±6.2) versus (68.1±7.3) min and average hospitalization time: (4.6±1.5) versus (8.8±1.4) days (P<0.05); complication rate: 5.2% versus 15.6% (P<0.05). ConclusionFor children with cryptorchidism,laparoscopy is obviously efficacious with greater handling convenience,less pain and less trauma. Fully free of spermatic cord,it may reduce the occurrences of complications,improve the level of medical care and lower the family burden of children. Wider clinical application is justified.

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更新日期/Last Update: 2018-11-23