【摘要】 目的研究在腹腔型隐睾患儿的临床治疗过程中,应用腹腔镜治疗的临床疗效与安全性。方法选择我科2013年1月到2015年5月期间收治的腹腔型隐睾患儿,随机抽取48例作为研究对象,予以两种不同的手术方式进行分组治疗。结果两组患儿在经过不同的分组治疗后,应用腹腔镜手术治疗的试验组患儿的临床总有效率为95.8%(23/24),明显优于传统开放手术的对照组75.0%(18/24),差异有统计学意义(P<0.01),且患儿的术中出血量、手术时间、下床活动及住院时间均显著优于对照组,差异有统计学意义(P<0.05)。患儿术后的前期并发症发生率(发热和感染)与对照组差异无统计学意义(P>0.05)。进一步对比患儿的远期并发症情况发现,腹腔镜手术治疗的患儿显著优于开放手术治疗的对照组,差异有统计学意义(P<0.05)。结论在腹腔型隐睾患儿的临床治疗过程中,应用腹腔镜治疗的临床疗效显著,且安全性能高,应广泛推广。更多还原

【Abstract】 Objective Study the clinical curative effect of the application of laparoscopy in the treatment and evaluate its safety in clinical treatments of abdominal cryptorchidism in children. Method Children with abdominal cryptorchidism in our department from January 2013 to May 2015 were collected. 48 cases were randomly selected as the research object,two different surgical methods were divided into two groups. Results After different group treatment,the clinical total effective rate was 95. 8%( 23 /24) in the experimental group treated with laparoscopic surgery,which is significantly better than the traditional open surgery in the control group 75%( 18 /24). The difference was significant( P < 0. 01). The amount of bleeding,operation time,out of bed activity and hospital stay time were significantly better than those in the control group,the difference was significant( P < 0. 05).The incidence of postoperative complications( fever and infection) and control group were not significantly different( P > 0. 05).Further comparison of the long-term complications of children found that laparoscopic surgery was significantly better than open surgery in the treatment of the control group,the difference was significant( P < 0. 05). Conclusion In abdominal cryptorchidism in children with clinical treatment process,the application of laparoscopy in the treatment has clinical curative effect and high safety performance,should be widely promoted.更多还原