Analysis of Contralateral Patent Processus Vaginalis in Laparoscopic High Ligation of the Vaginal Process and Clinical Long-term Effect of Individualized Treatment

IF 0.4 4区医学 Q4 PEDIATRICS

Iranian Journal of Pediatrics Pub Date : 2023-02-09 DOI:10.5812/ijp-123152

Bin Yang, Na Guo, Xiao-dan Wang, Su-mei Wang

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引用次数: 0

Abstract

Background: We aimed to analyze contralateral patent processus vaginalis (CPPV) in the laparoscopic high ligation of the vaginal process, treat eligible children surgically, and evaluate the clinical long-term outcomes. Methods: A total of 300 children with unilateral inguinal hernia or unilateral hydrocele treated in our hospital were selected for laparoscopic high ligation of the vaginal process, during which CPPV was analyzed. The 300 children were randomly divided into two groups of 150. In the study group (n = 58), 11 children met the requirements of high ligation and were treated with simultaneous surgery. The 53 children in the control group received simultaneous treatment. The prevalence of CPPV was compared between children with unilateral indirect inguinal hernia and unilateral hydrocele, left and right patent processus vaginalis (PPV), and different ages. After surgery, both groups were followed up for one year. The recurrence rate of contralateral indirect inguinal hernia or hydrocele was compared. Significant differences were assessed between the two groups receiving different treatments. Results: The prevalence of CPPV was 23% in children with unilateral indirect inguinal hernia and 49% in children with unilateral hydrocele. The prevalence of CPPV in children with unilateral hydrocele was significantly higher than that in children with inguinal hernia (P = 0.00). The prevalence of CPPV was 42% in children with left PPV and 33% in children with right PPV, without a statistically significant difference (P = 0.19). The prevalence of CPPV was 63% in children aged 1 - 2 years, which was significantly higher than that in other age groups (χ2 = 7.46, P = 0.01). The prevalence of CPPV was 14% in children aged > 6 years, which was significantly lower than that in other age groups (χ2 = 4.43, P = 0.04). A postoperative one-year follow-up showed that the recurrence rate was 9% in the study group and 1% in the control group, without a statistically significant difference (P = 0.25). Conclusions: The prevalence of CPPV decreases with age. Hydrocele combined with CPPV is more common. For younger children with hydrocele, it is very important to explore the contralateral side during surgery. Moreover, the transformation of CPPV to indirect inguinal hernia or hydrocele occurs rarely, and only eligible children can receive simultaneous treatment during surgery.

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腹腔镜阴道高位结扎术对侧阴道突未闭及个体化治疗的临床远期效果分析

背景:我们旨在分析腹腔镜阴道高位结扎术中对侧阴道柄未闭(CPPV)，对符合条件的儿童进行手术治疗，并评估临床长期疗效。方法:选择我院收治的单侧腹股沟疝或单侧鞘膜积液患儿300例，行腹腔镜阴道过程高位结扎术，分析术中CPPV。这300名儿童被随机分为两组，每组150人。研究组(n = 58) 11例患儿符合高位结扎要求，行同期手术治疗。对照组53例患儿同时治疗。比较单侧腹股沟斜疝、单侧鞘膜积液、左、右阴道突未闭(PPV)患儿及不同年龄的CPPV患病率。术后随访1年。比较两组对侧腹股沟斜疝和鞘膜积液的复发率。接受不同治疗的两组间比较差异有统计学意义。结果:单侧腹股沟斜疝患儿CPPV患病率为23%，单侧鞘膜积液患儿为49%。单侧鞘膜积液患儿CPPV患病率明显高于腹股沟疝患儿(P = 0.00)。左侧PPV患儿CPPV患病率为42%，右侧PPV患儿为33%，差异无统计学意义(P = 0.19)。1 ~ 2岁儿童CPPV患病率为63%，显著高于其他年龄组(χ2 = 7.46, P = 0.01)。老年儿童CPPV患病率为14%。6岁，明显低于其他年龄组(χ2 = 4.43, P = 0.04)。术后1年随访，研究组复发率为9%，对照组为1%，差异无统计学意义(P = 0.25)。结论:CPPV的患病率随着年龄的增长而降低。鞘膜积液合并CPPV更为常见。对于年龄较小的鞘膜积液患儿，在手术中探查对侧是非常重要的。此外，CPPV转化为腹股沟斜疝或鞘膜积液的情况很少发生，只有符合条件的儿童才能在手术中同时接受治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Pediatrics 医学-小儿科

CiteScore

0.90

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Iranian Journal of Pediatrics (Iran J Pediatr) is a peer-reviewed medical publication. The purpose of Iran J Pediatr is to increase knowledge, stimulate research in all fields of Pediatrics, and promote better management of pediatric patients. To achieve the goals, the journal publishes basic, biomedical, and clinical investigations on prevalent diseases relevant to pediatrics. The acceptance criteria for all papers are the quality and originality of the research and their significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by minimum three anonymous reviewers. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as the material cannot be returned. Final acceptance or rejection rests with the Editors.