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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(P<0.01);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。
Objective: To explore the advantages and disadvantages of modified Bianchi (scrotal incision) testicular descending fixation and traditional (groin incision scrotum) testicular descent fixation. Methods: From February 2013 to February 2014 in all 82 cases of children with low and middle cryptorchidism, 46 cases (53 testis) were randomly divided into observation group and Bianchi testicular descent fixation. The traditional method was to observe the inguinal Thirty-six patients (40 sides) were treated with scrotal incision as the control group. The differences of operation time and postoperative complications between the two groups were compared. Results: The operation time of observation group and control group was (25 ± 6) min and (35 ± 4) min, respectively, with significant difference between the two groups (P <0.01). After 1 to 2 years of follow-up , There was no testicular atrophy; the observation group, 3 cases of testicular upconditioning in the control group, 2 cases of postoperative testicular uptake, the difference was not statistically significant; no inguinal hernia, sheath Membranous effusion, but one case of control group had inguinal incision hematoma and all the incisions were more obvious, while the observation group was almost no surgical incision. Conclusion: The improved Bianchi testicular descending fixation for the treatment of low and middle cryptorchidism is satisfactory, which has some advantages over traditional surgery in terms of operation time and incision aesthetics, which is worthy of clinical promotion.