回缩性睾丸的临床研究  

Long term follow-up results of testicular retraction

作　　者：郭祥[1] 李爽[1] 王军[1] 郭晖[1] 雷伟[1] 李刚[1] 马慧[1] 杨春雷[1] 程银涛[1] 

机构地区：[1]武汉市儿童医院泌尿外科

出　　处：《中国男科学杂志》2014年第10期41-43,45,共4页Chinese Journal of Andrology

摘　　要：目的：通过评价回缩性睾丸患睾临床转归时间为临床治疗回缩性睾丸提供参考。方法回顾性分析了本院40例2004年3月至2009年9月被诊断为回缩睾丸的患儿，所有的患儿在随访时评价睾丸收缩性、位置、睾丸体积，并根据随访结果分为回缩组、正常组、固定组。结果40个患儿，21例单侧回缩睾丸（52.5%），19双侧回缩睾丸（47.5%）。他们的平均年龄为（3±2.7）岁，评价随访时间为（4.1±1.6）年。59例回缩睾丸，27例（45.7%）成功降入阴囊，23例（39.0%）保持回缩，9例患者（15.3%）为睾丸未降或睾丸体积变小行睾丸固定术。40例患者中平均随访（4.4±1.7）年。正常组平均随访时间为（4.1±1.3）年，回缩组平均随访时间为（5.2±1.7）年，固定组平均随访时间为（3.7±1.6）年。正常组平均诊断年龄为（4.3±3.2）年，回缩组平均诊断年龄为（2.3±1.6）年，固定组平均诊断年龄（1.3±0.8）年。固定组与正常组相比较，固定组平均诊断年龄小于正常组的平均诊断年龄（P ＜0.05）。结论回缩性睾丸有需行外科睾丸固定术的干预的风险，且年龄越小被诊断为回缩性睾丸的患者有需行外科睾丸固定术干预的风险越高。Objective To make a reference for clinical surgery operation intervention of retractile testis through long-term follow-up of testisvolume and position. Methods A retrospective analysis of 40 cases in our hospital diagnosed with testicular retraction was carried out in the study. According to the follow-up results of testicular shrinkage, position and testicular volume, the patients were divided into the retraction group, the normal group, the fixed group. Results Of 40 patients, 21 cases had unilateral testicular retraction （52.5%）, 19 （47.5%） had bilateral testicular retraction. Their average age was （3±2.7）years, evaluation and follow-up was （4.1±1.6）years. Among 59 cases of testicular retraction, 27 cases （45.7%） successful descend into the scrotum, 23 cases （39%） remained retraction, 9 patients （15.3%） for undescended testis and testicular volume change small orchiopexy. Average follow-up time of the normal group, the retraction group, the fixed group were 4±1.3 years, 5.1±1.7 years and 3.6±1.5 years, respectively. The median age of the normal group, the retraction group, the fixed group at diagnosis was 4.3±3.2 years, 3±2.6 years and 3.6±1.4 years, respectively. The average age at diagnosis of fixed group was lower than than that in normal group （P=0.008）. Conclusion Testicular retraction risk need surgical operation, especially for younger patients diagnosed with testicular retraction.

关 键 词：隐睾 睾丸固定术 

分 类 号：R697.22[医药卫生—泌尿科学]