CAJ | 학술논문

目的比较经阴囊皮纹单切口(Bianchi术)与传统经腹股沟及阴囊双切口睾丸固定术治疗儿童低位隐睾的临床疗效、微创优势及适应证选择. 方法回顾性研究2006年3月至2011年5月72例(78侧)行睾丸下降固定术的隐睾患儿资料,患儿均能在麻醉状态下将睾丸推出外环口及以下.以年龄相差不超过3个月、术前睾丸位置相同、术者相同、隐睾侧别相同为配对条件,采用1:1配对分组的方法将患者分为Bianchi术(A组)和经传统腹股沟及阴囊双切口睾丸下降固定术(B组),两组均为36例39侧.平均年龄为5.4岁(A组)、5.5岁(B组).比较两组平均手术时间、平均恢复站立活动时间、术后并发症、手术成功率. 结果 72例手术均顺利完成.两组平均手术时间分别为33、41 min,差异有统计学意义(P =0.0022).平均恢复站立活动时间分别为1.2、5.4d,差异有统计学意义(P=0.0003).随访3～ 65个月,两组均未发生睾丸萎缩、睾丸回缩、腹股沟斜疝、鞘膜积液等并发症. 结论 Bianchi术具有手术时间短、创伤小、术后痛苦小、恢复快、美容等优势,可用于治疗麻醉状态下能将睾丸推出外环口及以下的隐睾.
목적 비교경음낭피문단절구(Bianchi술)여전통경복고구급음낭쌍절구고환고정술치료인동저위은고적림상료효、미창우세급괄응증선택. 방법 회고성연구2006년3월지2011년5월72례(78측)행고환하강고정술적은고환인자료,환인균능재마취상태하장고환추출외배구급이하.이년령상차불초과3개월、술전고환위치상동、술자상동、은고측별상동위배대조건,채용1:1배대분조적방법장환자분위Bianchi술(A조)화경전통복고구급음낭쌍절구고환하강고정술(B조),량조균위36례39측.평균년령위5.4세(A조)、5.5세(B조).비교량조평균수술시간、평균회복참립활동시간、술후병발증、수술성공솔. 결과 72례수술균순리완성.량조평균수술시간분별위33、41 min,차이유통계학의의(P =0.0022).평균회복참립활동시간분별위1.2、5.4d,차이유통계학의의(P=0.0003).수방3～ 65개월,량조균미발생고환위축、고환회축、복고구사산、초막적액등병발증. 결론 Bianchi술구유수술시간단、창상소、술후통고소、회복쾌、미용등우세,가용우치료마취상태하능장고환추출외배구급이하적은고.
Objective To compare the prescrotal orchiopexy and traditional inguinal orchiopexy in the clinical treatment of children with low cryptorchidism.Methods Seventy-two patients(78 testes)who underwent orchiopexy in our hospital during March 2006 to May 2011 were retrospectively analyzed.And the undescended testis could be manipulated beyond the external inguinal ring under anaesthesia.Matching conditions were age differences among 3 months,same preoperative testicular positioning,same surgeon and same side.Using the paired study of 1 to 1,all the patients were divided into 2 groups: prescrotal orchiopexy(group A)and the traditional inguinal orchiopexy(group B),each group included 36 patients(39testes).Mean age was 5.4 years(group A)and 5.5 years(group B).The time of operation and restore standing,success rate and complications,including hernia,hydrocele,testicular atrophy and ascent were compared between the 2 groups.Results All the patients were successfully operated.The average surgical time for the prescrotal and inguinal groups were 33 and 41 min(P =0.0022),and average time of standing was 1.2 and 5.4 d(P =0.0003).All the patients had no wound infection.Followup ranged from 3 to 65 months.No hernia,hydrocele,testicular atrophy and ascent were identified in either group.The ratios of successful surgery were 100％ in the two groups.Conclusions The prescrotal orchiopexy is simple,safe,and effective in the cases that testis could be pushed down through the external inguinal ring.Compared with traditional inguinal approach,the advantages of prescrotal approach are shorter operative time,fewer traumas,less pain,faster recovery and cosmetic results.