未触及隐睾的临床诊断和处理  

Diagnosis and management of impalpable testes

作　　者：阎家骏[1] 朱选文[1] 潘昊[1] 

机构地区：[1]浙江大学附属第一医院泌尿外科

出　　处：《中华泌尿外科杂志》2003年第6期412-413,共2页Chinese Journal of Urology

摘　　要：目的　总结未触及隐睾的诊治经验。　方法　回顾性总结行外科手术探查的 82例 98侧未触及睾丸患者的诊治资料。 82例平均年龄 17岁。其中左侧 2 2例 ,右侧 4 4例 ,双侧 16例。术前B超探及睾丸 17侧 (17% )、ECT检查 4例 ,探及 3例。　结果　 98侧手术探查 :睾丸位于腹股沟 5 2侧 (5 3% ) ,腹腔 33侧 (34% ) ;睾丸缺如 13侧 (13% )。 92侧 (94 % )行腹股沟部手术或加局限腹腔探查。　结论　腹股沟部探查或辅以局限腹腔探查是目前处理未触及睾丸的首选方法。如果探查无结果或仅发现输精管 ,建议行腹腔镜检查。Objective To review the management of impalpable testes. Methods Ninty-eight impalpable testes in 82 patients underwent surigcal exploration and all the cases were studied retrospectively. Results 17 testes were found on ultrasonography and 3 of 4 cases were found on ECT pre-operatively.Ninty-eight testes in 82 patients were explored.Eighty-five testes were found,52 in the inguinal canal,33 in the abdomen.Another 13 testes were absent.Ninty-two(94%) testes were found on inguinal exploration or limited laparotomy when necessary. Conclusions Inguinal exploration,with lower abdominal laparotomy if necessary remains the main form of management.If the testes could not be found still laparoscopy should then be performed.

关 键 词：未触及隐睾 腹股沟探查术 腹腔探查术 腹腔镜检查 

分 类 号：R697.2[医药卫生—泌尿科学]