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郑键,林涛,魏光辉,李旭良,何大维,刘俊宏,张德迎.腹腔镜下治疗非腹腔型隐睾的临床研究[J].陆军军医大学学报(原第三军医大学学报),2009,31(20):2031-2033.
ZHENG Jian,LIN Tao,WEI Guang-hui,LI Xu-liang,HE Da-wei,LIU Jun-hong,ZHANG De-ying.Treatment of nonabdominal cryptorchidism under laparoscope: report of 47 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(20):2031-2033.
郑键,林涛,魏光辉,李旭良,何大维,刘俊宏,张德迎.腹腔镜下治疗非腹腔型隐睾的临床研究[J].陆军军医大学学报(原第三军医大学学报),2009,31(20):2031-2033. DOI:
ZHENG Jian,LIN Tao,WEI Guang-hui,LI Xu-liang,HE Da-wei,LIU Jun-hong,ZHANG De-ying.Treatment of nonabdominal cryptorchidism under laparoscope: report of 47 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(20):2031-2033. DOI:
目的 探讨腹腔镜在非腹腔型隐睾治疗中的临床意义。 方法 将我院2007年3月到2007年9月间收治的非腹腔型隐睾病人47例,随机分为开放手术组23例和腹腔镜手术组24例,分别行开放手术睾丸下降固定术和腹腔镜下睾丸下降固定术,通过分析手术结果、手术时间、住院时间,及各组术前及术后6个月的睾丸体积(V)、性激素水平(T、FSH、LH、E
2
)值的变化,来判断腔镜手术的疗效。 结果 47例均成功行一期睾丸下降固定术,腹腔镜手术组,术前、术后自身比较,术后6个月睾丸位置满意,睾丸体积无缩小(P0.05)、T 较术前升高(P0.05)、FSH及E
2
较术前下降(P0.05)、LH与术前无明显变化(P0.05);腹腔镜手术组与开放手术组比较,手术时间无明显差异,住院时间缩短,两组术前及术后6月,V、T、FSH、E
2
、LH均无差别(P0.05)。 结论 腹腔镜在非腹腔型隐睾的治疗中安全、有效,与传统开放手术疗效相同,可做为非腹腔型隐睾手术治疗的常规术式。
Objective To explore the clinical significance of nonabdominal cryptorchidism treatment under laparoscope. Methods Totally 47 patients of nonabdominal cryptorchidism at a mean age of 5.4 years old (ranging from 2 to 12) administrated in our hospital from March
2007 to September
2007 were divided into open-surgery group (23 cases) and laparoscopic surgery group (24 cases) randomly
and orchidopexy was carried out respectively. Operation time
length of stay and testicular volume
hormone level (T
FSH
LH
E
2
) of each patient before operation and 6 months after operation were measured to evaluate the efficacy
. Results All 47 patients had orchidopexy carried out successfully. There was no significant difference of operation time between laparoscopic and open-surgery group
but the duration of hospitalization was decreased in the former group. Testicular position was satisfactory 6 months after operation in laparoscopic group
but the volume wasn’t decreased
while T level was increased
and those of FSH and E
2
were decreased than that before operation (P0.05). LH had no significant changes. Testicular volume
level of T
FSH
E
2
and LH had no evident difference between laparoscopic and open-surgery group before and 6 months after operation. Conclusion It’s safe and effective to treat nonabdominal cryptorchidism under laparoscope
which may be adapted as routine treatment.
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