| 苏义林,吕文强.腹腔镜和经腹股沟开放手术治疗腹股沟型隐睾疗效的对比观察[J].安徽医药,2021,25(1):51-54. |
| 腹腔镜和经腹股沟开放手术治疗腹股沟型隐睾疗效的对比观察 |
| Comparative observation on the efficacy of aparoscopic and transinguinal opensurgery in the treatment of inguinal cryptorchidism |
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| DOI：10.3969/j.issn.1009?6469.2021.01.013. |
| 中文关键词: 隐睾 睾丸固定术 腹腔镜检查 腹股沟 微创 儿童 |
| 英文关键词: Cryptorchidism Orchiopexy Laparoscopy Groin Minimal invasive Child |
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| 中文摘要: |
| 目的探讨腹腔镜手术和开放手术治疗腹股沟型隐睾的临床疗效。方法回顾性分析 2016年 1月至 2018年 6月中国科学技术大学附属第一医院收治的腹股沟型隐睾病人 80例，分为腹腔镜组和开放手术组，评估两组病人手术效果及预后。结果两组手术病人均将睾丸下降至阴囊内，经过一年随访，两组比较，睾丸位置、睾丸血供、是否发生萎缩差异无统计学意义(P＞0.05)；腹腔镜组与开放手术组相比，手术出血更少(5.42±1.32)比(10.67±3.74)mL，切口总长度更短(10.13±2.17)比(34.78±4.52)mm，病人家长对手术满意评价更好(4.38±0.33)比(3.94±1.13)分，差异有统计学意义(P＜0.05)；手术时间、疼痛评分、住院时间、并发症发生率差异无统计学意义(P＞0.05)。结论两种手术方式治疗腹股沟型隐睾均安全有效，而腹腔镜手术出血更少，更美观，家长接受度更高。 |
| 英文摘要: |
| Objective To investigate the clinical effectoflaparoscopicsurgeryandtransinguinal opensurgeryon inguinal cryptorchi? dism.Methods Retros pective analysis of 80 patients with inguinal cryptorchidism in Department of Pediatric Surgery，The First Affiliated Hospital of University of Science &Technology China from January 2016 to June 2018 was performed.The patients weredivided into the laparoscopic group and open surgical group，and the surgical outcomes and prognosis of the two groups were eval? uated.Results In both groups，the testicles were droppedinto the scrotum.After one year of follow?up，there was no significant dif? ference between the two groups in testicular location，testicular blood supply，and atrophy occurence(P＞0.05)； Compared with the open surgery group，the laparoscopic group had less surgical bleeding(5.42±1.32)vs.(10.67±3.74)mL，the total length of incision(10.13±2.17)vs.(34.78±4.52)mm was shorter，and the patient’s satisfaction with the operation(4.38±0.33)vs.(3.94±1.13)score was better，which was statistically significant(P＜0.05).There was no significant difference in operation time，pain score，hospitalstay and complication rate(P＞0.05).Conclusion Both methods of operation are safe and effective in the treatment of inguinal cryptorchidism，while laparoscopic surgery has less bleeding，better appearance，and higher family acceptance. |
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