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目的探讨腹腔镜睾丸固定术治疗小儿腹腔型隐睾的疗效分析。方法 100例小儿腹腔型隐睾患儿,随机分为观察组和对照组,各50例。对照组采用开腹手术治疗,观察组采用腹腔镜睾丸固定术治疗。比较两组患儿的治疗效果、术中术后各项指标以及并发症发生情况。结果观察组手术优良率为96.00%,明显高于对照组的84.00%,差异有统计学意义(P<0.05);观察组术中出血量、手术时间、术后疼痛时间、下床活动时间、住院时间与对照组比较,差异均有统计学意义(P<0.05);观察组睾丸回缩、阴囊水肿、切口感染并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜睾丸固定术治疗小儿腹腔型隐睾效果更佳,能够缩短术后恢复时间,减少并发症的发生,具有积极的临床意义。
Objective To investigate the efficacy of laparoscopic testicular fixation in children with cryptorchidism. Methods 100 cases of infantile cryptorchidism in children were randomly divided into observation group and control group, 50 cases each. The control group was treated by laparotomy and the observation group by laparoscopic testicular fixation. The therapeutic effects of the two groups were compared, and the indexes of postoperative and postoperative complications were compared. Results The excellent and good rate of operation in the observation group was 96.00%, which was significantly higher than that in the control group (84.00%), the difference was statistically significant (P0.05); the intraoperative blood loss, operation time, postoperative pain time, ambulation time, There were significant differences in the length of hospital stay between the control group and the control group (P <0.05). The incidences of testicular contraction, scrotal edema and incision infection in the observation group were significantly lower than those in the control group (P <0.05) . Conclusion Laparoscopic testicular fixation for children with intraperitoneal cryptorchidism better, can reduce postoperative recovery time and reduce the incidence of complications, with a positive clinical significance.