单孔腹腔镜手术治疗小儿腹阴囊型鞘膜积液的临床效果

Clinical Effect of Single Hole Laparoscopic Surgery for the Treatment of Pediatric Abdominal Scrotal Hydrocele

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摘要目的探讨单孔腹腔镜手术治疗小儿腹阴囊型鞘膜积液的临床效果。方法回顾性分析2018年2月—2022年12月广东省肇庆市高要区人民医院收治的85例腹阴囊型鞘膜积液患儿的临床资料,根据手术方式的不同将患儿分为对照组(n=42)和观察组(n=43),对照组行开放手术治疗,观察组行单孔腹腔镜手术。对比两组组手术相关指标、应激反应、并发症发生情况。结果观察组手术时间、切口长度、住院时间均短于对照组,术中出血量少于对照组,住院费用多于对照组,组间差异有统计学意义(P<0.05)。术前,两组应激反应指标比较,差异无统计学意义(P>0.05);术后24 h,观察组促肾上腺皮质激素、去甲肾上腺素、C反应蛋白、皮质醇水平均低于对照组,组间差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论相较于开放手术,单孔腹腔镜手术治疗小儿腹阴囊型鞘膜积液在缩短手术及住院时间、减少术中出血量等方面效果较好,可减轻患儿应激反应,且并发症少,但住院费用相对较高。 Objective To explore the clinical effect of single hole laparoscopic surgery for the treatment of pediatric scrotal hydrocele.Methods A retrospective analysis was conducted on the clinical data of 85 children with abdominal scrotal hydrocele admitted to the People's Hospital of Gaoyao District,Zhaoqing City,Guangdong Province from February 2018 to December 2022.They were divided into a control group(n=42)and an observation group(n=43)based on different surgical methods.The control group received open surgery for treatment,while the observation group received single hole laparoscopic surgery.Compare the surgical related indicators,stress reactions,and complications between the two groups.Results The operation time,incision length and hospital stay in the observation group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,and the hospitalization cost was more than that in the control group,the difference was statistically significant(P<0.05).Before operation,there was no significant difference in stress response between the two groups(P>0.05).24 h after operation,the levels of adrenocorticotropin,norepinephrine,Creactive protein and cortisol in observation group were lower than those in control group,with statistical significance(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Compared with open surgery,single hole laparoscopic surgery has a better effect on reducing surgical and hospitalization time,reducing intraoperative bleeding,and reducing stress reactions in children with scrotal hydrocele.It has fewer complications,but the hospitalization cost is relatively high.

作者董光华林国立胡颜 DONG Guanghua;LIN Guoli;HU Yan(Department of Urology,Gaoyao District People's Hospital,Zhaoqing City,Zhaoqing Guangdong,526000,China)

机构地区肇庆市高要区人民医院泌尿外科

出处《反射疗法与康复医学》 2023年第18期147-149,共3页 Reflexology And Rehabilitation Medicine

关键词腹阴囊型鞘膜积液小儿单孔腹腔镜手术手术相关指标应激反应并发症 Abdominal scrotal type hydrocele Children Single hole laparoscopic surgery Surgical related indicators Stress response Complications

分类号 R726 [医药卫生—儿科]

作者简介董光华(1987-),男,广东茂名人,本科,主治医师,研究方向:腹腔镜结合ERAS理念治疗腹股沟疾病。