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1、| 维普资讯 * 318 *Journal of Minimally Invasive Medicine , 20081 Vol. 3 s No. 4腹腔镜手术与开放性手术治疗小儿隐睾的疗效比较摩桂榕 (广西面宁市第一人民医哉小儿外科，南宁市530022)【播3U 目的探讨应用小儿腹腔魏手用治疔小儿的疔效。方迭堆组患者in例,随机分为两坦BS般镜爭术组 50例，博蜕开敢武手术亀&2例。对两组于术各顶酣床指标堆行比较。詰果 證脱揚宇恳绍.奇垃臨睪訪例,此位隐黑24例全耶 期将學丸降人阴靈;开放式予术组.奋位峨睾17崗低位隐睾电例,42鬧】期萨术将舉丸降入阴囊,有20例经U期手术将皐丸降 入阳蠢班
2、舵镜殂比开放式手术组手术时间短、术中出血少、术佶恢址快、住院时间短，取筒隐睾不需增加切口*站论 腹腔憶不术 比JT放式手术有明显优越性，能提商于术成功犁减少井发症*术弗睿易揉柞，手术安全、可鶴可替代恃轨开迪式手术a词】腔腔镜曲碰隐卷幵放式手术(中菌分塗号】K6CR；H726【女淞标识码】A【宜章集号】16曲&帝柑008)饵期怡如Comparison of surgical treated effect with aMominal speculum or orthodox operation for childrenb cryptorchidismUAO Gui-rong(Department
3、of Pediatric surgtry. Fim Peopled flxpiial 呼 Narining in GuangXi Aut&wrnatti region /Vanning ,530022)Abstract Objective To analyse and study surgical treatment eflfect wilh atdomiiLaJ apeciiluni for children i high position coptorchidism. Methods 112 cMes were divided in(o 50 c*es of abdominal speei
4、dam and 62 cases -of orthodox operatiofi 呂random p comparing their surgical treaunenl eflecl in climicu Results) 50 cases with abdominal speculum (26 cases of cryptorchidisen in high position and 24 瓷鹘es of cryptorchidism in low-set ) could let the didymus drop in scrotum lb the first periodl of tii
5、ne. In the orthodox operation team ,20 surgical cases of 62 cases ( 17 caara of cryptorchidism in high position and 45 cases dT cryptorchidism in low-set) could kt the didymus drop in scrolum for ihr second opcralions and tlic oihera for the first period of time. AbdominaJ speciduni with cryptorchid
6、igm need shorter tirrte曲 bleed!ng and shorter hospitalization. Ambi-cryplorchidism do not tieed nwre woytd- Conclusion Abdominal speculum operation has more superiority ihan orthodox operation for ciyptorchidism Tenhancing auccessful late of aperalion and reducing complicaliong. The two mernis have
7、signjficaiit deviation and statistical significance with statiatics. Surgical operations with abdominal speculum are easierf safer, more reliable and can rcplate of orthodox operations Key words Abdominal speculum；Cryptorchidism of supenor poitiion;OrthcxJox operation我院2000年至2007年12月收治小儿隐蚤112例分别 采用腹
8、腔镜下睾丸下降术和传统开放忒手术将睾丸1期下降 和II期下陆人阴鑒，为比较两种治疔方法的疗效现将结果报 告如下。1资料与方法LI略库资抖 本组H2例患奢，年龄173趴平均4” 岁&双删初例，左狼148例，右侧44例口就诊时一侧或双侧削 K内未触及睾丸闽腹股沟区可触及睾丸,52例悴表未能 融尺睾丸。对未触及睾丸的想儿B趙检査，腹膻沟管内可探 及睾丸组织9例.未发现睾IL组织石例.37例睾丸组织位于睨 般内环口上方。本组嶄词术前有45例接受绒毛膜促性腺激 素（hCG）治疔*总量巧000 U.睾丸未能下降.术前本组病例 经性徵寮测定，雄性黄体生忙徽索（LH和卵泡 悴者简介:虞桂榕斗）舅弄科，別主任医
9、卿，研丸方向胡、儿證腔 生忙激素（用H）均低于正常值。开放式手术62例,其中双侧 U例腹腔内礬丸口例谡股沟骨内睾丸飪例；援腔镜手术蛆 50例+崔中双测12例,腹腔内睾丸游刮腹股沟管内睾丸24 例.两组患儿的年龄悴重等基本情况比较无统计学意义具 可比性两组病人由同一组医生完咸手术。L2治疗方窪1,2, 1麻醉方法 两组病人麻醉方法相同小岁以F華础如 抵管麻醉小岁以上基础加连续确膜外麻醉壶1 + 2.2开放式手术方袪腹股沟料切口，显5E腹股沟管，认 淸隐舉的僮置，了解精索血管和输精管的解剖关钛分离疝 蠡高位結扎。掘后舟精索血管周围组規分离，横斯零兀引 带睾丸向阴菱方向牵引判新精索血管长厦，如睾丸降人阴 蠡有张力，可在精索血管与后腹膜之间进行钝性分离，能延杭 精索血管和输精ft.从切向下至阴囊做一隧道*阴套底部 皮朕切开，皮下与珂膜之闾潜行分离其范围以能容纳塞丸为 度炯用弯钳从阴氟底部切口通过隧道将睾丸、精精管向下牵 引至阴囊内，向下牵引的过程中，精索血管和输精管不能扭
腹腔镜手术与开放性手术治疗小儿隐睾的疗效比较
