王捷+吴尔岸+张然昆+廖凤文+韦凯

【摘要】目的比较微创肾镜与开放性手术治疗精索鞘膜积液的临床疗效。方法2013年10月～2015年10月期间，在广西科技大学第一附属医院选取82例精索鞘膜积液患儿作为研究对象，并根据手术术式的不同分为两组，其中研究组41例采用微创肾镜手术，而对照组41例采用开放性手术，比较两组的临床疗效。结果与对照组相比，研究组手术时间更短，术中出血量更少，术后住院时间更短，医疗费用更少，差异有统计学意义（P<0.001）。研究组患者术后并发症总发生率（2.44%）明显低于对照组（19.51%），差异有统计学意义（P<0.05）。结论微创肾镜手术治疗精索鞘膜积液安全有效，且并发症较少，相较于开放性手术治疗更具临床优势，值得推广。

【关键词】微创肾镜手术；开放性手术；精索鞘膜积液

中图分类号：R697+.23文献标识码：ADOI：10.3969/j.issn.10031383.2016.05.008

【Abstract】ObjectiveTo investigate and compare the clinical effect between minimally invasive nephroscopic and open surgery in the treatment of spermatic cord hydrocele.Methods82 children with spermatic cord hydrocele who were treated in the First Affiliated Hospital of Guangxi University of Science and Technology between October，2013 and October，2015 were selected as study subjects.According to different operation，they were divided into two groups.41 patients in the study group were treated with minimally invasive nephroscopic surgery while 41 patients in the control group were treated with open surgery.The clinical efficacy was compared between the two groups.ResultsCompared with the control group，the operation time of the study group was shorter，the intraoperative blood loss was less，the postoperative length of hospital stay was shorter and the medical expenses was less，difference was statistically significant（P<0.001）.The total incidence rate of postoperative complications in the study group（2.44%） was significantly lower than that（19.51%） in the control group，difference was statistically significant（P<0.05）.ConclusionMinimally invasive nephroscopic surgery is safe and effective in the treatment of spermatic cord hydrocele，and the complications are few.Compared with open surgery，it has more clinical advantages，so it is worthy of being generalized.

【Key words】minimally invasive nephroscopic surgery；open surgery；spermatic cord hydrocele

精索鞘膜積液是儿科常见病之一，多见于小儿，且1岁以内的患儿有一定的自愈性，但超过1岁的患儿则多需要手术治疗[1]。目前，临床上治疗精索鞘膜积液常见的有微创肾镜手术与开放性手术两种，但关于二者孰优孰劣，却一直存在诸多争议，至今尚无统一定论[2]。鉴于此，本研究我们就2013年10月～2015年10月期间采用微创肾镜与开放性手术治疗精索鞘膜积液的临床疗效进行对比分析，以期为其临床治疗提供科学的参考依据，报道如下。

1资料与方法1.1一般资料本研究所选取的82例研究对象，均为广西科技大学第一附属医院2013年10月～2015年10月收治的精索鞘膜积液患儿，年龄15个月～12岁，平均（2.57±0.83）岁。根据手术术式的不同分为研究组（微创肾镜手术）与对照组（开放性手术），每组41例，两组一般资料比较无统计学意义（P>0.05），有可比性。

1.2纳入及排除标准纳入标准：（1）均经相关检查确诊[3，4]；……