摘要
目的探讨腹腔高位隐睾Fowler-Stephen手术的二期开放和腹腔镜手术治疗的效果。方法纳入2013年11月至2018年6月就诊于北京市通州区妇幼保健院的80例高位隐睾患儿,均行Fowler-Stephen二期开放或腹腔镜手术,据二期手术方式不同分为开放手术组及腹腔镜手术组,各40例。比较2组患儿的手术时间、术中出血量、下床活动时间、住院时间及术后近期及远期并发症情况。结果腹腔镜手术组的手术时间、术中出血量、下床时间和住院时间均低于开放手术组(P<0.05)。2组术后近、远期并发症的发生率均低于开放手术组(P<0.05)。结论Fowler-Stephen手术二期采用腹腔镜手术治疗腹腔高位隐睾是一种有效的方法,对高位隐睾的治疗具有较高的临床价值。
Objective To investigate the clinical efficacy of second-stage open surgery and laparoscopic surgery in the management of abdominal high cryptorchidism using the Fowler-Stephen procedure.Methods A total of 80 cases of high cryptorchidism in children who were treated at the Maternal and Child Health Hospital of Tongzhou District,Beijing,from November 2013 to June 2018 were included in this study.The patients were divided into two groups based on the surgical approach:the open surgery group and the laparoscopic surgery group,with 40 cases in each group.Surgical time,intraoperative bleeding,time to mobilization,length of hospital stay,and postoperative short-term and long-term complications were compared between the two groups.Results The laparoscopic surgery group had significantly shorter surgical time,less intraoperative bleeding,a shorter time to mobilization,and a shorter hospital stay compared to the open surgery group(P<0.05).The incidence of postoperative complications in the short-and long-term follow-up was lower in the laparoscopic surgery group compared to the open surgery group(P<0.05).Conclusion Fowler-Stephen surgery in the second phase of laparoscopic surgery for the treatment of high abdominal cryptorchidism is an effective method and has high clinical value for the treatment of high cryptorchidism.
作者
刘宁
耿伟民
刘昆强
Liu Ning;Geng Weimin;Liu Kunqiang(Pediatric Surgery Department of Tongzhou District Maternal and Child Health Hospital in Beijing,Beijing 101100,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2023年第3期299-302,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
