Clinical effect of testicular fixation through inguinal needle incision in the cryptorchidism（Report of 38 cases）
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摘要: 目的：观察腹股沟针式切口睾丸固定术治疗儿童腹股沟区可触及隐睾的临床效果，探讨该术式的可行性。方法：选取2017年7月~2018年7月在我院接受腹股沟针式切口睾丸固定术治疗腹股沟区可触及隐睾的患儿38例，观察手术时间、术中出血量，术后住院时间、手术效果、伤口愈合情况，术后并发症发生率及随访睾丸发育情况。结果：38例患儿手术均顺利完成，手术时间为（26.2±5.1） min出血量均<5ml，术后住院时间（3±1） d，术中睾丸均无张力下降至阴囊内，伤口愈合良好，阴囊无血肿形成，术后3、6个月分别复查睾丸超声，未见睾丸萎缩，无睾丸回缩，无鞘膜积液及疝发生，术后腹股沟区瘢痕可达到肉眼无瘢痕状态。结论：腹股沟针式切口睾丸固定术治疗儿童腹股沟区可触及隐睾，治疗效果满意，具有手术时间短、利于高位结扎鞘状突，不增加术后并发症、切口微小美观等优势，值得临床推广。Abstract: Objective: To observe the clinical effect of testicular fixation through inguinal needle incision in the children of cryptorchidism in the groin area.Method: From July 2017 to July 2018, 38 cases with palpable cryptorchidism in groin were selected, and testicular release fixation was performed through the inguinal needle incision.Operation time, intraoperative blood loss, postoperative hospital stay, operation effect, wound healing, incidence of postoperative complications and follow-up testicular development were observed.Result: Thirty-eight cases were successfully completed the surgery.The operation time was (26.2±5.1) min.Haemorrhage amount was less than 5 ml.Postoperative hospital stay was (3±1) days.Testicles decreased to the scrotum without tension during the operation.The wound healed well without scrotal hematoma.The 3 rd month and 6 th month postoperatively, testicular ultrasound showed no testicular atrophy, retraction, hydrocele or hernia.Scar of postoperative groin area wasn't obvious.Conclusion: Inguinal needle incision combined with scrotal incision can touch cryptorchidism in children's inguinal region, and the treatment effect is satisfactory.It has advantages such as short operative time, high ligation of processus vaginalis, no increasing incidence of postoperative complications, and minimal incision, so it is worthy of clinical promotion.
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