Objective:To discuss the clinical efficacy and safety of laparoscopic surgery and open surgery for non-abdominal cryptorchidism. Methods:Form Jan. 2007 to May 2008,72 cases of cryptorchidism was selected. 36 cases underwent open surgery( control group) ,and 36 cases underwent laparoscopic surgery( observation group). The difference of the clinical efficacy and postoperative complications were compared. Results: No significant difference of the operative time between the two groups was observed( P ＞ 0.05 ).The blood loss and postoperative hospital stay in observation group were significantly shorter than those in control group ( P ＜ 0.05 ).There was no significant difference in early complications between the two groups ( P ＞ O. 05 ), but long-term complications were significantly different (P ＜ 0.05 ). Conclusions:Laperoscopic surgery for non-abdominal cryptorchidism is better than open surgery, and can be recommended as the preferred surgery for non-abdominal cryptorchidism.%目的:探讨腹腔镜手术与传统开放手术治疗非腹腔型隐睾的临床疗效和安全性.方法:2007年1月至2008年5月收治隐睾患儿72例,行开放性手术36例(对照组),腹腔镜手术36例(观察组).观察两组临床疗效和术后并发症等指标.结果:两组手术时间差异无统计学意义(P>0.05);术中出血量、术后住院时间观察组明显少于对照组(P<0.05).近期并发症两组差异无统计学意义(P>0.05),远期并发症则有统计学意义(P<0.05).结论:腹腔镜手术治疗非腹腔型隐睾较开放手术更有优势,可作为治疗非腹腔型隐睾的首选术式.
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