国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
1期
65-68
,共4页
隐睾%腹腔镜%对比观察
隱睪%腹腔鏡%對比觀察
은고%복강경%대비관찰
Cryptochildism%Laparoscope%Compartive study
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.
目的 對比觀察開放手術與腹腔鏡下治療小兒隱睪的療效,總結腹腔鏡下治療小兒隱睪的臨床經驗及優點.方法 迴顧性分析2000年1月至2013年12月我院收治的176例小兒隱睪的臨床資料,按手術方法的不同將患兒分為開放手術、腹腔鏡手術兩組,開放手術組為2000年1月至2005年12月收治的66例;腹腔鏡手術組為2005年1月至2013年12月收治的110例.分析比較兩組患兒診斷準確率、手術成功率、手術時間、齣血量、術後住院時間、術區的外觀美學及臨床療效.結果 腹腔鏡手術組診斷準確率、手術成功率、手術時間、術區的外觀美學、遠期療效明顯優于開放手術組,兩組相比較差異有統計學意義(P＜0.05);兩組住院時間、術中齣血量無明顯差異(P＞0.05).結論 與開放手術相比,腹腔鏡下治療小兒隱睪具有診斷準確率高、手術成功率高、平均手術時間短、損傷小、臨床療效好、恢複快、切口疤痕小的優點,尤其是對腹腔型、雙側型隱睪更具優勢.
목적 대비관찰개방수술여복강경하치료소인은고적료효,총결복강경하치료소인은고적림상경험급우점.방법 회고성분석2000년1월지2013년12월아원수치적176례소인은고적림상자료,안수술방법적불동장환인분위개방수술、복강경수술량조,개방수술조위2000년1월지2005년12월수치적66례;복강경수술조위2005년1월지2013년12월수치적110례.분석비교량조환인진단준학솔、수술성공솔、수술시간、출혈량、술후주원시간、술구적외관미학급림상료효.결과 복강경수술조진단준학솔、수술성공솔、수술시간、술구적외관미학、원기료효명현우우개방수술조,량조상비교차이유통계학의의(P＜0.05);량조주원시간、술중출혈량무명현차이(P＞0.05).결론 여개방수술상비,복강경하치료소인은고구유진단준학솔고、수술성공솔고、평균수술시간단、손상소、림상료효호、회복쾌、절구파흔소적우점,우기시대복강형、쌍측형은고경구우세.
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 incision area,and 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.
