摘要
目的 探讨微型腹腔镜下睾丸下降固定术在儿童隐睾中的应用.方法 2010年6月至2011年6月,我们对40例隐睾患儿施行微型腹腔镜睾丸下降固定术.术中行单侧睾丸下降固定术33例,双侧5例,一期Fowler-Stephens手术4例.术中见睾丸萎缩2例,除2例睾丸萎缩病例外,其余病例均行患侧疝囊高位结扎术,对侧疝囊高位结扎术7例.结果 40例患儿均顺利完成手术,无中转开放手术.单侧手术时间30~45 min,平均38 min,双侧手术时间54~78 min,平均64 min.随访12～24个月,平均18个月,无睾丸回缩、睾丸萎缩、腹股沟疝等并发症.结论 微型腹腔镜下睾丸下降固定术治疗儿童隐睾创伤小,睾丸下降完全,安全有效,并发症少,可作临床推广应用.
Objetive To explore the mini-laparoscopic testis reduction and orehiopexy in children ap- plication of cryptorchidism. Methods From June 2010 to June 2011,40 cases children of ryptorchidism was treated with mini-laparoscope testicular descent fixation. Intraoperative unilateral 33 cases, bilateral 5 eases, Fowler-Stephens orchidopexy 4 cases, orehiatrophy 2 cases, All cases except 2 cases of orchiatrophy carried out internal ring orifice igation via peritoneoscope, the same as 7 cases of contralateral. Results 40 cases were performed successfully completed, No interim opening surgery. Unilateral operation time was 30 - 45 minutes, average 38 minutes. Bilateral surgical time was 54 - 78 minutes, average 64 minutes. Follow-up 12 - 24 months, averaging 18 months, No complications such as testicular retraction, testicular atrophy, inguinal her- nia recurrence. Conclusions Mini-laparescopic testicular descent fixation of treating children cryptorchidism is small trauma, testicular descent completely, beautiful, safe, effective and less complications, so has very good application prospect and is worthy to popularized as a standard operation clinical application for cryp- torehidism.
出处
《临床小儿外科杂志》
CAS
2013年第6期475-477,共3页
Journal of Clinical Pediatric Surgery
关键词
腹腔镜检查
外科手术
隐睾
疝
腹股沟
Laparoseopy
Surgical Procedures, Operative
Cryptorchidism
Hernia, Inguinal
