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目的探讨经脐单部位腹腔镜治疗小儿隐睾的临床价值。方法回顾性分析2012年1月至2013年10月,新疆维吾尔自治区人民医院对42例(49侧)隐睾患儿采取经脐单部位切口腹腔镜技术治疗隐睾,完成手术操作。结果 42例患儿手术均获成功,手术时间30～50 min,平均40.2 min;住院时间4～5 d,平均4.5 d。无中转开腹及改变手术方式病例。术后随访时间1～6个月,其中2例单侧睾丸萎缩;没有回缩及切口感染发生。结论经脐单部位腹腔镜治疗小儿隐睾安全有效技术可行,值得推广。
Objective To investigate the clinical value of single-site laparoscopic transurethral umbilical treatment of cryptorchidism in children. Methods Retrospective analysis From January 2012 to October 2013, 42 cases (49 sides) of cryptorchidism were treated by the People’s Hospital of Xinjiang Uygur Autonomous Region for the treatment of cryptorchidism by single-site incision laparoscopy to complete the operation. Results All the 42 cases were operated successfully. The operation time was 30-50 min (average 40.2 min). The hospitalization time was 4-5 days (mean 4.5 days). No transit laparotomy and surgical changes in cases. Postoperative follow-up time of 1 to 6 months, including 2 cases of unilateral testicular atrophy; no retraction and incision infection occurred. Conclusion The single-site laparoscopic treatment of cryptorchidism in children safe and effective technology is feasible and worth promoting.