改良Bianchi睾丸下降固定术治疗中低位隐睾的临床疗效

发布时间：2018-08-12 12:46

【摘要】：目的:探讨改良Bianchi(阴囊中缝切口)睾丸下降固定术与传统(腹股沟联合阴囊切口)睾丸下降固定术的优缺点。方法:2013年2月至2014年2月收治的所有82例中低位隐睾患儿中,随机对其中46例(53侧睾丸)行改良Bianchi睾丸下降固定术作为观察组;传统方法即经腹股沟联合阴囊切口治疗36例(40侧)作为对照组。比较2组手术时间、术后并发症等方面的差异。结果:观察组与对照组患儿的手术时间分别为(25±6)min和(35±4)min,两组比较差异有统计学意义(P0.01);经过1~2年的随访比较,均未出现睾丸萎缩情况;观察组患儿出现3例睾丸上缩情况,对照组出现2例术后睾丸上缩,发生率的差异没有统计学意义;术后均未出现腹股沟斜疝、鞘膜积液的并发症,但对照组患儿有1例出现腹股沟处切口血肿且所有患儿切口均较明显,而观察组术后手术切口几乎观察不到。结论:行改良Bianchi睾丸下降固定术治疗中低位隐睾效果满意,较传统手术在手术时间和切口美观等方面具有一定的优势,值得临床推广。
[Abstract]:Objective: To investigate the advantages and disadvantages of modified Bianchi (scrotal suture incision) and traditional (inguinal combined scrotal incision) orchid descent fixation. Methods: From February 2013 to February 2014, all 82 children with middle and low cryptorchidism were randomly treated with modified Bianchi orchid descent fixation in 46 of them (53 testes). The operation time and postoperative complications of the two groups were compared. Results: The operation time of the observation group and the control group were (25 There was no testicular atrophy in the observation group; there were 3 cases of testicular atrophy in the observation group and 2 cases of testicular atrophy in the control group, the difference was not statistically significant; there were no complications of indirect inguinal hernia and hydrocele in the sheath after operation, but there was 1 case of incision hematoma in the control group and all incisions were obvious. Conclusion: Modified Bianchi testicular descent fixation has a satisfactory effect in the treatment of middle and low cryptorchidism, which is superior to traditional surgery in terms of operation time and aesthetic incision, and is worthy of clinical promotion.
【作者单位】：西北妇女儿童医院小儿外科;
【分类号】：R726.9

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