摘要
目的探讨腹腔镜技术在未触及睾丸的隐睾中的应用。方法总结腹腔镜下12例(13侧)隐睾探查的诊治经验,并结合相关文献进行分析。结果该组13侧,共发现11侧睾丸(84.6%),2侧缺如(15.4%)。12例手术均顺利完成,一期睾丸下降固定术2例3侧,Fowler-Stephen二期手术2例,睾丸切除术6例。术后出现轻度腹胀5例,皮下气肿7例。11例获得随访,未见下降睾丸回缩或萎缩,亦未见腹股沟斜疝发生。结论腹腔镜下小儿隐睾探查术,具有安全、微创、准确、恢复快等优点,其不足之处可以改进。
Objective: To study the value of laparoscopic surgery in the treatment of nonpalpable cryptorchidism. Methods: 12 patients (13 sides) with cryptorchildism not touched testis were explored under laparoscopy, and analysized with related data. Results: The operations on 12 cases were all succeeded. 11 testis were found and 2 side was absent of testis. 3 testis of 2 cases were performed first stage orchiopexy, 2 cases staged Fowler-Stephens orchiopexy, and 6 cases had orchiectomy. Slight abdominal distension was observed in 5 cases, subcutaneous emphysema occurred in 7 cases. 11 cases had been followed up for 1 to 22 months, neither retraction and atrophy of the descended testes nor the oblique inguinal hernia was found. Conclusions: Laparoscopy for the impalpable testis is safe, reliable and has the virtue of accuracy, minimal trauma and fast recovery. The shortcomings may be ameliorated.
出处
《中国内镜杂志》
CSCD
2004年第9期36-37,49,共3页
China Journal of Endoscopy
关键词
腹腔镜
隐睾
治疗学
laparoscope
cryptorchidism
therapeutics
