摘要
目的 :对先天性隐睾症的术式改良及疗效进行评价。方法 :研究组采用腹横纹切口保留睾丸引带阴囊皮下睾丸固定术 110侧 ,得到随访 10 8侧隐睾。对照组采用肉膜囊睾丸固定术并得到随访 6 2侧。结果 :研究组睾丸大小及硬度优 94侧 ,良 9侧 ,差 5侧 ;睾丸位置优 93侧 ,良 9侧 ,差 6侧 ;无睾丸萎缩及回缩 ,切口 期愈合率10 0 % ,瘢痕不明显。对照组睾丸大小及硬度优 41侧 ,良 7侧 ,差 14侧 ;睾丸位置优 43侧 ,良 8侧 ,差 11侧 ;睾丸萎缩 5侧 ,睾丸回缩 3侧 ;切口外观良好 7侧 ,差 5 5侧。统计学分析采用 χ2检验 ,两组睾丸大小及硬度比较有极显著性差异 ( P <0 .0 1) ,睾丸位置的比较 ,有显著性差异 ( P <0 .0 5 )。结论 :研究组术式手术损伤小 ,切口瘢痕不明显 。
Purpose:To evaluate the curative effects of a modifified operation for congenital cryptorchism.Methods:A study group of 110 testes underwent scrotal subcutaneous orchiopexy through abdominal transverse cleavage line incision with gubernaculum testis reserved,108 testes were followed up.In the control group,62 testes underwent scrotal dartos orchiopexy and were followed up.Results:the study group,on testis size and hardness,94 testes were excellent,9 good and 5 poor,on testis location,93 excellent,9 good and 6 poor,there was no atrophy or retraction of testis,and the excellent rate of incisions was 100 percent.In the control group,on testis size and hardness,41 were excellent,7 good and 14 poor,on testis location,43 excellent,8 good and 11 poor,testis atrophy or retraction happened in 5 cases and 3 cases respectively,and incisions of 7 cases were good,55 poor.A very significant difference(χ2test)was found between the two groups on testis size and hardness(P< 0.01 ),and testis location(P< 0.05 ).Conclusions:The modified operation is a better approach with slight damage,excellent appearance,no complication of testis atrophy or retraction,and significant social and economic results.
出处
《临床泌尿外科杂志》
2000年第7期315-316,共2页
Journal of Clinical Urology
