摘要
目的探讨高位隐睾腹腔镜Ⅰ期固定术的应用。方法回顾性研究2005年1月至2008年3月间所收治的35例高位隐睾患儿，年龄1～15岁，平均年龄2．6岁。左侧20例，右侧12例，双侧3例，总计38侧。根据睾丸位置高低，腹腔镜辅助下行精索松解Ⅰ期睾丸固定或Fowle-Ste phens（FS）Ⅰ期睾丸固定手术。结果在35例（38侧）患儿中，有33例（34侧）为低位腹腔内隐睾（89．5％），2例4侧（10．5％）为腹腔内高位隐睾。其中的34侧腹腔内低位睾丸及1侧高位睾丸经过松解精索血管或FSI期手术，将睾丸固定于患侧阴囊内；3侧高位睾丸经过松解精索血管Ⅰ期将睾丸固定于外环口外与阴囊上极之间。手术成功率为92．1％。随访3～24个月（平均6个月），100％睾丸血运好无萎缩。结论高位隐睾腹腔镜Ⅰ期固定手术效果良好，手术微创。
Objective The aim of this study was scopic orchiopexy for intra-abdominal testes. Methods to explore the application in one-stage laparo- Between January of 2005 and January of 2008, 35 patients with intra-abdominal testes were retrospectively analyzed. The mean age was 2. 6 years （ranging from 1 to 15 years）. Twenty cases were on the left side, 12 on the right side and 3 on both sides. According to the position of testes in abdomen, one-stage laparoscopic orchiopexy or one-stage Fowler-Stephens orchiopexy was performed. Results Among 35 patients （38 testicular units）, 33 cases （34 testicular units） were diagnosed as low intra-abdominal testes （89. 5%）, 4 testicular units （10. 5%） as high. Twenty-four cases with low intra-abdominal testes and 1 with high intra-abdominal testes underwent one-stage orchiopexy （including 2 Fowler-Stephens procedures）. Three intra-abdominal testes in high position were fixed in the area between external inguinal ring and upper scrotum. All patients were followed up for 1 to 30 months （mean 6 months） , whose testes had good blood supply without atrophy. The testes of 35 patients （92. 1%） were in an acceptable scrotal position. Conclusions One-stage laparoscopic orchiopexy is a safe and efficient treatment for patients with intra-abdominal testes and causes minimal damage to patients.
出处
《中华小儿外科杂志》
CSCD
北大核心
2009年第2期83-85,共3页
Chinese Journal of Pediatric Surgery
关键词
腹腔镜外科手术
隐睾
微创性外科手术
Laparoscopic surgical procedures
Cryptorchidism
Minimal access surgical procedures
