腹腔镜Prentiss路径睾丸下降固定术在小儿高位隐睾中的应用

Application of laparoscopic Prentiss orchiopexy in children with high cryptorchidism

目的:探讨腹腔镜Prentiss路径睾丸下降固定术在小儿高位隐睾中的应用效果。方法:选取2019年10月至2021年10月收治的100例高位隐睾患儿作为研究对象,按照随机数字表法分为对照组与研究组,每组50例。对照组在常规路径下行腹腔镜睾丸下降固定术,研究组在Prentiss路径下行腹腔镜睾丸下降固定术,比较两组手术相关指标、睾丸发育情况及术后并发症。结果:两组手术时间、术后进食时间、术后活动时间、住院时间、手术成功率差异无统计学意义(P>0.05);研究组术后并发症发生率、睾丸回缩率均低于对照组(P<0.05);术后6个月,研究组睾丸体积平均(0.52±0.12)mL,对照组平均(0.47±0.10)mL,两组差异有统计学意义(P<0.05);研究组与对照组血清抗苗勒管激素水平[(110.35±14.38)ng/mL vs.(104.55±13.45)ng/mL]、抑制素B水平[(81.48±10.36)pg/mL vs.(77.23±8.72)pg/mL]差异有统计学意义(P<0.05)。结论:腹腔镜Prentiss路径睾丸下降固定术治疗小儿高位隐睾疗效显著,可使睾丸下降至满意位置,促进睾丸发育,改善睾丸功能。

Objective:To investigate the application effect of laparoscopic Prentiss testicular descent fixation in children with high cryptorchidism.Methods:A total of 100 children with high cryptorchidism from Oct.2019 to Oct.2021 were selected as the study objects,and were divided into control group and study group according to random number table method,with 50 cases in each group.The control group was treated with conventional laparoscopic descending orchiopexy.The study group was treated with laparoscopic orchiopexy in Prentiss approach.The operation related indicators,testicular development and postoperative complications were compared b etween the two groups.Results:There was no significant difference in operation time,postoperative eating time,postoperative activity time,hospital stay and operation success rate between the two groups(P>0.05),the incidences of postoperative complications and testicular retraction in the study group were lower than those in the control group(P<0.05);at 6 months after operation,testis volume was(0.52±0.12)mL in the study group and(0.47±0.10)mL in the control group,the difference between the two groups was statistically significant(P<0.05);in the study group and the control group,the differences of the serum level of anti-Mullerian hormone[(110.35±14.38)ng/mL vs.(104.55±13.45)ng/mL]and inhibin B[(81.48±10.36)pg/mL vs.(77.23±8.72)pg/mL]between the two groups were statistically significant(P<0.05).Conclusions:Laparoscopic Prentiss orchiopexy is effective in the treatment of children with high cryptorchidism,can make the testis descend to a satisfactory position,promote the development of testis and improve the function of testis.