健侧睾丸直径增长在小儿未触及隐睾中的临床意义  

Clinical significance of contralaterai testicular diameter in non-palpable cryptorchidism in children

作　　者：郭晖[1] 李爽[1] 王军[1] 雷伟[1] 韩杰[1] 

机构地区：[1]武汉市儿童医院泌尿外科,430016

出　　处：《中华小儿外科杂志》2014年第3期179-181,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的探讨健侧睾丸直径增长在小儿未触及隐睾中的临床意义。方法回顾性分析2008年1月至2011年12月收治的82例单侧未触及隐睾患儿的临床资料。按术前超声测量健侧睾丸长径，大于1．7CiTI的40例为观察组，小于1．7cm的42例为对照组；使用腹腔镜探查患侧睾丸发育情况。结果观察组发现对侧睾丸萎缩37例，睾丸缺如1例，睾丸未萎缩2例；对照组睾丸萎缩10例，未萎缩32例。观察组中睾丸萎缩率为92．5％（37／40），对照组中睾丸萎缩率为23．8％（10／42），两组比较，差异有统计学意义（P〈O．05）。结论单隐睾的婴幼儿健侧睾丸增大，以长径大于1．7cm能简单的判断患侧未触及睾丸已萎缩或缺如。睾丸长径是否大于1．7cm可以作为1～2岁婴幼儿判断睾丸是否增大的简单量化值。Objective To explore the clinical significance of contralateral testicular length in non-palpable cryptorchidisnx Methods Retrospective analyses were performed for 82 children with unilateral non-palpable cryptorchidism during January 2008 and December 2011. Their age range was 1-2 years. The testicular diameter was measured by conventional; ultrasound. They were divided into the study （diameter 〉1.7 cm, n= 40） and control （〈1.7 cm, n= 42） groups. Laparoscopy was used to observe the development status of affected testis. Results In the study group, there were contralateral testicular atrophy （n = 37）, missing （n = 1） and non-atrophy （n = 2）; in the control group, atrophy （n = 10） and non-atrophy （n = 32）. The intra-group comparison revealed statistical difference in atrophic rate （92. 5% vs 23. 8%, P〈 0. 05）. Conclusions For infants with single cryptorchidism, contralateral testis with a diameter greater than 〉1. 7 cm offers a simple guide whether or not there is testicular atrophy or absence.

关 键 词：隐睾症 腹腔镜检查 儿童 

分 类 号：R726.9[医药卫生—儿科]