小儿隐睾89例诊治临床分析  

THE CLINICAL DIAGNOSTIC AND THERAPEUTIC ANALYSIS OF 89 CASES OF CHILDREN'S CRYPTORCHIDISM

作　　者：吴志荣[1] 

机构地区：[1]广东省廉江市人民医院外科,廉江524400

出　　处：《海南医学院学报》2005年第4期277-279,共3页Journal of Hainan Medical University

摘　　要：目的:探讨小儿隐睾的合理诊治方法,以减少并发症的发生。方法:89例小儿隐睾症,对其中16例<2岁和3例B超发现睾丸体积过小的3例患儿进行人绒毛膜促性腺激素(HCG)治疗,每次1500U肌肉注射,每周2次,总剂量15000U。对经HCG治疗失败以及年龄>2岁的患儿采用手术治疗。结果:9例患儿HCG治疗1个疗程后睾丸降至阴囊;7例经HCG治疗睾丸未降至阴囊,但睾丸比注射前增大。经手术治疗的患儿中76例1次手术完成,3例分2次手术,睾丸缺如1例;3例睾丸过小的患者尽管睾丸未降到阴囊,但是睾丸比注射前明显增大;本组中未发现癌变,无睾丸坏死及睾丸切除,无睾丸回缩等并发症。结论:尽早采取合理的治疗方法是有效治疗小儿隐睾、减少并发症的关键。Objective： To investigate rational diagnostic and therapeutic method of children＇s cryptorchidism so as to reduce complications.Methods：16 cases of cryptorchidism younger than 2 years old and 3 children whose testes were too small were treated by HCG. They were injected 1 500 U twice a week and total dose were 15 000 U.Both failed cases by HCG and those that were over 2 years old were operated. Results： 9 cases descended their testes to scrotum after treatment of HCG;7 cases did not descend their testes to scrotum, but the their testes became bigger. 76 cases were operated once, 3 cases were operated twice, 1 case had no testis. 3 cases had too small testes became bigger after treatment by HCG. There were no testis tumor, testis putrescence and testis withdrawing in this group. Conclusion： Earlier rational treatment is the key to treat effectively children＇s cryptorchidism and reduce complications.

关 键 词：睾丸疾病 外科手术 儿童 

分 类 号：R726.9[医药卫生—儿科]