Fowler-Stephens手术治疗高位隐睾12例报告  

Treatment of high undescended testis by Fowler-Stephens orchiopexy(Report of 12 cases)

作　　者：章越龙[1] 肖家全[1] 邹强[1] 丁青[1] 楼水鑫[1] 

机构地区：[1]浙江省人民医院泌尿外科,杭州310014

出　　处：《临床泌尿外科杂志》2007年第9期694-696,共3页Journal of Clinical Urology

摘　　要：目的：探讨Fowler-stephens手术方法治疗高位隐睾的效果。方法：报告12例高位隐睾患者的临床资料。12例均患侧阴囊空虚，并在腹股沟不能扪及隐睾，其中9例通过B超及CT明确定位了高位隐睾位置，3例不能明确定位。手术先找到隐睾，在输精管汇入精索以上位置行Fowler-stephens试验，明确手术方法可行后在该处离断精索，将隐睾下降固定于阴囊，术中注意避免对精索进行广泛游离。结果：12例患者经6个月～3年的随访，10例睾丸的大小、质地及多普勒彩超结果满意，2例发生睾丸萎缩。结论：Fowler-Stephens手术是治疗高位隐睾的有效方法。提高手术成功率关键在于：选择好手术适应证；术中避免对精索的广泛游离，不要破坏精索血管与输精管间的系膜，以保全侧枝循环对睾丸的血供。Objective：To present our experience with Fowler-Stephens orchiopexy（FSO） in the treatment of high undescended testis. Methods： Twelve patients with high undescended testis underwent Fowler-Stephens orchiopexy and were followed-up from 6 months to 3 years. Results. During the follow up period, 10 testes demonstrated normal in size, quality and the blood-supply evaluated with Doppler ultrasound. The remaining 2 cases demonstrated atrophic, Conclusions.. Fowler-Stephens orchidopexy is a feasible treatment of high undescended testis. The key of surgery is the minimal dissection of spermatic cord and the integrity of membrane between the spermatic vessel and spermaduct.

关 键 词：隐睾症 高位 Fowler-Stephens手术 

分 类 号：R699.8[医药卫生—泌尿科学]