摘要
目的对比观察开放手术与腹腔镜下治疗小儿隐睾的疗效，总结腹腔镜下治疗小儿隐睾的临床经验及优点。方法回顾性分析2000年1月至2013年12月我院收治的176例小儿隐睾的临床资料，按手术方法的不同将患儿分为开放手术、腹腔镜手术两组，开放手术组为2000年1月至2005年12月收治的66例；腹腔镜手术组为2005年1月至2013年12月收治的110例。分析比较两组患儿诊断准确率、手术成功率、手术时间、出血量、术后住院时间、术区的外观美学及临床疗效。结果腹腔镜手术组诊断准确率、手术成功率、手术时间、术区的外观美学、远期疗效明显优于开放手术组，两组相比较差异有统计学意义（P〈0．05）；两组住院时间、术中出血量无明显差异（P〉0．05）。结论与开放手术相比，腹腔镜下治疗小儿隐睾具有诊断准确率高、手术成功率高、平均手术时间短、损伤小、临床疗效好、恢复快、切口疤痕小的优点，尤其是对腹腔型、双侧型隐睾更具优势。
Objective To compare the efficacy of open and laparoscopic operation for children with cryptorchildism and to summarize the clinical experience of laparoscopic operation. Methods The clinical data of 176 children with cryptorchildism admitted into our hospital from January, 2000 to December, 2013 were retrospectively analyzed. The patients were divided into an open operation group and a laparoscopic operation group. 66 patients in the open operation group were hospitalized from January, 2000 to December, 2005. 110 patients in the laparoscopic operation group were hospitalized from January, 2005 to December, 2013. The diagnostic accuracy, success rate, operation time, bleeding volume, postoperative hospital stay, beauty of iaeision area, aad clinical effect were analyzed and compared. Results The diagnostic accuracy, success rate, operation time, beauty of incision area, and long term effect were beter in the laparoscopic operation group than in the open operation group, with statistical differences （P〈0.05）. There were no statistical differences in postoperative hospital stay and bleeding volume between the two groups （P〉0.05）. Conclusions Compared with open operation, laparoscopic operation for children with cryptorchildism, especially for abdominal and double side cryptorchidism, has higher diagnostic accuracy and successful rate, shorter operation time, less injury, better clinical effect, shorter recovery time, and smaller incision scar.
出处
《国际医药卫生导报》
2015年第1期65-68,共4页
International Medicine and Health Guidance News
关键词
隐睾
腹腔镜
对比观察
Cryptochildism
Laparoscope
Compartive study
