异位睾丸19例诊治分析  

Clinical diagnosis and treatment of ectopic testicle

作　　者：王宁[1] 萨音白刚[1] 刘宏[2] 汤梁峰[3] 阮双岁[3] 

机构地区：[1]包钢集团第三职工医院泌尿外科,内蒙古自治区包头市014010 [2]包头医学院第一附属医院,内蒙古自治区包头市014010 [3]复旦大学附属儿科医院泌尿外科,上海市201102

出　　处：《临床小儿外科杂志》2017年第2期178-181,共4页Journal of Clinical Pediatric Surgery

摘　　要：目的总结19例异位睾丸患儿的诊治过程,探讨临床经验。方法回顾性分析2008年1月至2015年10月本院收治的19例异位睾丸患儿临床资料,同侧异位睾丸采用传统睾丸固定术治疗,横过异位病例采用腹腔镜探查,明确异位情况后进行睾丸的解剖复位经患侧腹股沟下拉至阴囊固定。进一步分析其临床病史资料、异位睾丸的不同类型、合并情况、治疗过程、随访预后,总结诊治方法及经验。结果本研究共纳入19例异位睾丸患儿,年龄9个月至11岁,年龄中位数18个月。9例睾丸横过异位患儿中,后腹膜横过异位5例,耻骨上横过异位1例,阴囊中隔横过异位3例,术中发现4例横过异位睾丸合并苗氏管永存;10例同侧异位睾丸中,异位至同侧阴囊外会阴部皮下6例,异位至同侧大腿根部皮下3例,异位至腹股沟皮下浅筋膜囊内1例。所有病例均经手术治疗后随访6个月至5年,无一例手术并发症。随访期间无睾丸萎缩。结论异位睾丸具有明显的个体化差异,通过分析异位方式及合并情况,实现解剖复位,能有良好的手术效果。Objective To summarize the clinical experiences of diagnosing and treating ectopie testes. Methods From January 2008 to October 2015, reviews were conducted for the clinical data of 19 ec- topic testis children. Ordinaryorchidopexy was performed for ipsilateralextopic testis. After laparoscopic explo- ration, anatomical orchidopexy according to the types and locations of ectopic testis. Results The median age was 1.5 （0. 75 - 11 ） years. Among 9 cases of transverse ectopic testes, testes were located in perineal area（ n = 6 ）, subcutaneous thigh （ n = 3 ） and subcutaneous inguinal canal （ n = 1 ）. Orehidopexy was performed with- out complications. During a postoperative follow - up period of 6 months to 5 years, there was no occurrence of testicular atrophy. Conclusions Individual cases of ectopic testis may be managed satisfactorily by orchidope- xy with excellent outcomes.

关 键 词：异位睾丸 外科手术 治疗 预后 儿童 

分 类 号：R726.9[医药卫生—儿科]