腹腔镜诊治未触及隐睾39例(44侧)

Diagnosis and treatment to non-palpable undescended testis with laparoscopy in 39 cases

目的探讨腹腔镜技术诊断和治疗未触及隐睾的疗效。方法2004年2月～2007年2月利用腹腔镜技术对39例44侧未触及隐睾进行诊断和治疗。结果39例均得到明确诊断。38侧腹腔内隐睾中31侧行一期睾丸固定术,7侧行分期Fowler-Stephesn睾丸固定;6侧为睾丸缺如。39例随访0.5～1.0年,1侧分期Fowler-Stephesn睾丸萎缩。结论腹腔镜对小儿未触及隐睾的诊断和治疗具有创伤小、恢复快、治疗效果好等优点,可作为未触及隐睾患儿的首选诊治方法。如条件许可,一期睾丸固定术也能取得满意的临床疗效。

[Objective] To evaluate the effects of laparoscopy in the diagnosis and treatment of non-palpable undescended testis. [Methods] Laparoscopy was utilized in the diagnosis and treatment of non-palpable undescended testis (44 sides) in 39 cases from February 2004 to February 2005. [Results] The diagnosis was clarified in all the 39 cases. Intra-abdominal testis was found in 38 sides (primary orchidopexy in 31 sides and two-staged Fowler-Stephens orchidopexy in 7 sides) and testis was absent in 6 sides. 1 side ...