睾丸横过异位的诊断和治疗:附1例报告并文献复习  

Transverse testicular ectopia:A case report and review of the literature

作　　者：罗建斌[1] 王德娟[2] 方友强[2] 雷华[2] 邱剑光[2] 

机构地区：[1]福建省龙岩市第二医院,龙岩364000 [2]中山大学附属第三医院泌尿外科,广州510630

出　　处：《中华腔镜泌尿外科杂志（电子版）》2011年第3期50-52,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨睾丸横过异位的诊断和治疗。方法患儿,7岁,男性,术前超声、CT判断右侧隐睾位于同侧腹腔内,腹腔镜下见患侧睾丸精索血管横过异位,双输精管单侧起源伴行,与对侧精索及横过睾丸精索血管共同穿过已闭合的内环口,进入对侧腹股沟管。腹腔镜下游离患侧精索,经腹股沟开放手术将异位睾丸通过阴囊中隔复位固定到对侧阴囊肉膜下。结果术中未发现苗勒管残留,手术顺利。术后随访3个月,患儿双侧睾丸位置理想,血流良好。结论睾丸横过异位是罕见睾丸下降不良畸形,术前难确诊,宜及早诊治,腹腔镜处理有优势。Objective To study the diagnosis and treatment of transverse testicular ectopia 0TE）. Methods The boy was 7-year-old. Ultrasonography and computed tomography （CT） identified a mass lo- cated in the right abdominal cavity and no testicle was palpable in the right inguinal area. Laparoscopy was performed and found that two vasa deferentia and paired spermatic vessels passing the left internal inguinal ring. Both the vasa deferentia originated from the same left side and travelled in parallel. The left spermatic vessels was normall into the ipsilateral internal ring. However, the right counterparts traversed along peri- toneal folds of the pelvic cavity into the contralateral internal ring. After dissociating right spermatic cord by laproscopy, a transseptal orchiopexy was performed for the ectopic right testicle in open operation from left inguinal canla incision. Results There was no presence of mtillerian duct structures. The surgery was un- eventful. Both testes were appropriately fixed with good blood supply after 2-month follow-up. Conclusions is a rare congenital abnormality of testicular maldescent. It is difficult to diagnose before operation but must be early treatment. Laparoscopy has advantage in treatment of TIE.

关 键 词：睾丸横过异位 腹腔镜 隐睾 

分 类 号：R726.9[医药卫生—儿科]