未触及睾丸的单侧隐睾中健侧睾丸代偿性肥大的相关因素分析  

Correlation Factors Analysis of the Uninjured Side Testis Compensatory Hypertrophy in the Unilateral Nonpalpable Testis Cryptorchid

作　　者：张广松[1] 周健[2] 严庆涛[2] 王宏利[2] 任子善[2] 

机构地区：[1]潍坊医学院泌尿外科学教研室,山东潍坊261053 [2]潍坊市人民医院小儿外科

出　　处：《潍坊医学院学报》2016年第2期151-154,共4页Acta Academiae Medicinae Weifang

摘　　要：目的研究未触及睾丸的单侧隐睾中健侧睾丸代偿性肥大（CTH）现象的发生及其与年龄、患侧睾丸状况之间的关系,探讨对患侧睾丸状况的判定价值。方法选自2012年1月~2015年7月收治的隐睾症患儿737例,从中选出符合标准的患儿118例为隐睾组,同期选取140例正常同龄儿童作为对照组,将隐睾组根据腹腔镜或传统腹股沟手术探查结果分为腹股沟睾丸组、腹腔内睾丸组、睾丸萎缩缺如组;将每组儿童按年龄进行分层。超声测量健侧睾丸体积,并进行统计学分析。结果在各年龄段内与对照组相比,隐睾组健侧睾丸体积显著增大（P〈0.01）,且与患儿年龄呈负相关（相关系数ρs=-0.464,P=0.1477）;CTH主要发生在睾丸萎缩缺如组（P〈0.01）;受试者工作特性曲线（ROC）分析示健侧睾丸增生与患侧睾丸萎缩缺如有明显的相关性（曲线下面积AUC=0.95±0.033,P〈0.01）,其最佳临界值为健侧睾丸体积较同龄对照组体积均数增大超过14%,敏感性为97.6%,特异性为83.3%.结论 CTH在未触及睾丸的单侧隐睾中较常见,并与患侧睾丸萎缩缺如有明显相关性,可为临床预测患侧睾丸状况提供一定参考。Objectives To explore the incidence of uninjured side testis compensatory hypertrophy in the unilateral nonpalpable testis cryptorchid,and the relationship between compensatory testicular hypertrophy（ CTH） with the age and the suffering testis＇ status of cryptorchid,and the accuracy of assessing the suffering testis＇ condition. Methods One hundred and eighteen satisfactory patients from 737 cryptorchid in our hospital from 2012-01 to 2015-11 were collected,Meanwhile,the testicular sizes of 140 healthy volunteers were collected as control（ group A）,divided all cases（ group B） into several groups according to the age and the status of suffering testis in surgery. Analyzed the uninjured side testicular sizes with ultrasonography by statistics. Results The uninjured side testicular sizes of cryptorchid were larger than those of controls for each age（ P〈0. 01）,also it had a negative correlation with the ages（ ρs =- 0. 464,P =0. 1477）; CTH mainly occurred in cryptorchid with atrophic and absent testis（ P〈0. 01）; ROC curve analysis indicated CTH were related to atrophic and absence of suffering testis（ AUC = 0. 95 ± 0. 033,P〈0. 01）,the optimal cutoff value is the uninjured side testicular sizes increases at least 14% than the controls,the sensitivity and specificity was 97. 6% and83. 3%. Conclusion CTH is common in unilateral nonpalpable testis cryptorchid,especially related to atrophic and absence of suffering testis. Through this method can provide potent reference for clinic work.

关 键 词：隐睾 睾丸代偿性肥大 小儿 

分 类 号：R697.22[医药卫生—泌尿科学]