小儿隐睾症外科治疗及术后睾丸萎缩危险因素的研究进展  

Research Progress in Surgical Treatment of Cryptorchidism in Children and Risk Factors for Postoperative Testicular Atrophy

作　　者：罗丹 雷欣瑶 LUO Dan;LEI Xinyao(Department of Pediatric Surgery,West China Hospital of Sichuan University,Chengdu 610041,China;Department of Nephrology,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院小儿外科,成都610041 [2]四川大学华西医院肾内科,成都610041

出　　处：《医学综述》2023年第21期4634-4638,4643,共6页Medical Recapitulate

摘　　要：小儿隐睾症是出生男婴中发生率较高的一类生殖器疾病,目前小儿隐睾症的致病原因尚未完全明确,多认为是不同因素共同影响的结果。当前隐睾症的治疗主要为激素治疗和手术治疗,激素治疗由于安全性问题尚存在争议,因此外科手术治疗仍是小儿隐睾症的首选,手术术式包括睾丸固定术、腹腔镜手术、睾丸移植术等,其治疗效果明确,但术后容易出现多种并发症,其中睾丸萎缩发生率较高,目前隐睾位置、患儿年龄、手术方式被认为是睾丸萎缩发生的主要危险因素。Cryptorchidism is a common reproductive disorder in male infants,and its etiology is still not fully understood.It is believed to result from a combination of different factors.Currently,the main treatments for cryptorchidism are hormone therapy and surgery.Hormone therapy is controversial due to safety concerns,so surgical treatment remains the preferred option.The surgical procedures include testicular fixation,laparoscopic surgery,and testicular transplantation.While these treatments are effective,there are various complications that can occur after surgery,with testicular atrophy being a common one.The main risk factors for testicular atrophy are believed to be the position of the undescended testicles,the age of the child,and the surgical procedure employed.

关 键 词：小儿隐睾症 外科治疗 睾丸萎缩 危险因素 

分 类 号：R697.22[医药卫生—泌尿科学]