[1]王德娟 黄文涛司徒杰 缪斌 邱剑光 高新.腹腔镜下开放鞘状突环扎技术在小儿隐睾手术中的应用:附视频[J].中华腔镜泌尿外科杂志(电子版),2014,(03):178-183.
 Wang Dejuan,Huang Wentao,Situ Jie,et al.The application of closing PPV by laparoscopy for pediatric cryptorchidism[J].,2014,(03):178-183.
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腹腔镜下开放鞘状突环扎技术在小儿隐睾手术中的应用:附视频()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2014年03期
页码:
178-183
栏目:
临床研究
出版日期:
2014-06-30

文章信息/Info

Title:
The application of closing PPV by laparoscopy for pediatric cryptorchidism
作者:
王德娟 黄文涛司徒杰 缪斌 邱剑光 高新
510630广州,中山大学附属第三医院泌尿外科
Author(s):
Wang Dejuan Huang Wentao Situ Jie Miao Bin Qiu Jianguang Gao Xin.
Department of Urology, the Third Affliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
小儿隐睾手术腹腔镜
摘要:
目的 探讨腹腔镜下开放鞘状突( PPV)环扎技术在小儿隐睾手术中的作用。方法 回顾分析 2008年 8月至 2012年 2月腹腔镜治疗 42例小儿隐睾的病例资料,统计 PPV和对侧开放鞘状突(CCPV)发生率并予以关闭。观察手术时间、并发症、住院日数等。结果 患儿年龄中位数 3岁(1~14岁),术前诊断左侧 23例( 54.8%),右侧 12例( 28.6%),双侧 7例(16.6%)。术中探查 PPV发生率 73.8%(31/42),cPPV发生率 35.7%(15/42)。术前诊断为单侧隐睾的病例既往有手术史占 5.7%(2/35)。腹腔镜下行 PPV/cPPV环扎,或缩小患侧内环开口。腹股沟不可触及隐睾超声术前诊断与术中探查结果符合比率 64%(29/45),CT诊断符合比率 69.2%(9/13)。手术时间( 109.9±51.4)min。住院时间( 6.3±3.6)d。术后随访时间为 1个月~4年半,中位数时间 3年,超声复查无睾丸萎缩、异时疝,无切口疝、肠粘连等。结论 腹腔镜下 PPV环扎技术应用于小儿隐睾手术,能最大限度保留腹股沟管壁完整性,手术微创、安全、有效。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:广东省科技计划项目( 2010B031600083)
通讯作者:邱剑光,Email: qjg702@gmail.com
更新日期/Last Update: 2014-06-25