PDF(Pubmed)
Abstract：
Purpose: This study evaluated the outcomes of laparoscopic repair (LR) and open repair (OR) surgery for communicating hydrocele in children. Patients and Methods: We collected the clinical data and follow-up data of all boys (<14 years) who underwent communicating hydrocele surgery in the pediatric surgery department at Yijishan Hospital of Wannan Medical College from January 2017 to December 2018 and retrospectively analyzed the data. Results: In this study, 155 patients were retrospectively enrolled, including 90 patients in the OR group and 65 patients in the LR group. There were significant differences in operation time and the recurrence of hydrocele between the two groups. The persistence of scrotal swelling in the LR group was significantly lower than that in the OR group. There was no significant difference in postoperative hospitalization time or incision infection rate between the two groups. Conclusion: In conclusion, this study shows that laparoscopic treatment of children with communicating hydrocele has the advantages of a hidden incision, a shortened operation time, and a reduced postoperative recurrence rate and can be used as the preferred surgical method. However, laparoscopic treatment should be selected according to the specific condition of each child and cannot completely replace traditional open surgery.
摘要：
目的：本研究评估了腹腔镜修复（LR）和开放修复（OR）手术治疗儿童交通性鞘膜积液的效果。患者与方法:收集2017年1月至2018年12月在皖南医学院沂集山医院小儿外科行交通性鞘膜积液手术的所有男童(<14岁)的临床资料及随访资料,对资料进行回顾性分析。结果:在这项研究中,回顾性纳入155例患者，其中OR组90例,LR组65例。两组在手术时间、鞘膜积液复发方面差异有统计学意义。LR组阴囊肿胀的持续性明显低于OR组。两组患者术后住院时间、切口感染率差异无统计学意义。结论：总之，这项研究表明，腹腔镜治疗儿童交通性鞘膜积液具有隐藏切口的优点，缩短手术时间，术后复发率降低,可作为首选手术方法。然而,腹腔镜治疗应根据每个患儿的具体情况进行选择,不能完全取代传统开腹手术。
