[1]张慧敏,李科,胡成,等.三种术式治疗小儿不同位置隐睾效果的分析[J].中华腔镜泌尿外科杂志(电子版),2018,12(03):177-181.[doi:10.3877/cma.j.issn.1674-3253.2018.03.008 ]
 Zhang Huimin,Li Ke,Hu Cheng,et al.Comparison of three different surgical approaches to children with cryptorchidism in differet locations[J].,2018,12(03):177-181.[doi:10.3877/cma.j.issn.1674-3253.2018.03.008 ]
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三种术式治疗小儿不同位置隐睾效果的分析()
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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:
12卷
期数:
2018年03期
页码:
177-181
栏目:
临床研究
出版日期:
2018-06-20

文章信息/Info

Title:
Comparison of three different surgical approaches to children with cryptorchidism in differet locations
作者:
张慧敏李科胡成黄文涛邱文瀚李一渊何建文王德娟邱剑光高新
510630 广州,中山大学附属第三医院泌尿外科
Author(s):
Zhang Huimin Li Ke Hu Cheng Huang Wentao Qiu Wenhan Li Yiyuan He Jianwen Wang Dejuan Qiu Jianguang Gao Xin.
Department of Urology, the Third Affliated Hospital of Sun Yat-sen University, Guang zhou 510630, China
关键词:
小儿隐睾睾丸下降固定术腹腔镜
DOI:
10.3877/cma.j.issn.1674-3253.2018.03.008
摘要:
目的总结及分析三种术式治疗儿童不同位置隐睾的效果。方法回顾性分析 2010年1月至 2017年 6月我院泌尿外科收治的 159例(213侧)隐睾患儿资料,年龄 5个月至 14岁(中位年龄 4岁)。根据术前及术中对患儿隐睾部位、发育等情况的评估,分别采用腹腔镜高位隐睾下降固定、腹腔镜鞘状突高位结扎加经阴囊隐睾固定及经腹股沟切口开放手术治疗。比较三种术式治疗小儿隐睾的疗效。结果90侧隐睾采取腹腔镜高位隐睾下降固定术,61侧隐睾采取腹腔镜鞘状突高位结扎加经阴囊手术,62侧隐睾采用开放经腹股沟切口手术。105例单侧隐睾病例中,术中探查见患侧鞘状突未闭者有 85例(80.95 %);对侧鞘状突未闭者有 40例(38.10 %)。54例双侧隐睾病例中,合并双侧鞘状突未闭者 31例(57.41 %),合并单侧(一侧及以上)鞘状突未闭者 44例(81.48 %),其中31例为双侧鞘状突均未闭,13例为只有一侧未闭。均行腹腔镜套管针法高位结扎闭合鞘状突。2侧睾丸术中见发育不良予以切除,其余所有睾丸均无张力固定于患侧阴囊。所有病例随访 3个月至 6年,发现 1例复发,其余病例未见手术侧睾丸萎缩及回缩。三种术式对治疗小儿隐睾的效果差异无统计学意义(P>0.05)。结论腹腔镜对腹腔高位隐睾手术治疗具有优势,可同时处理未闭鞘状突。腹股沟部低位隐睾可行腹腔镜鞘状突结扎加经阴囊切口手术。经腹股沟切口手术在诊断睾丸缺如及睾丸发育不良等情况中仍有重要价值。

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备注/Memo

备注/Memo:
基金项目:2017广东省自然科学基金项目(2017A030313898)
通讯作者:王德娟,Email: wangdej@mail.sysu.edu.cn
更新日期/Last Update: 2018-06-20