隐睾的腹腔镜检查和处理

Laparoscopy in the Diagnosis and Treatment of Non-palpable Undescended Testes

目的 评价应用腹腔镜技术诊治未触及睾丸的应用价值。方法 采用腹腔镜技术诊治未触及睾丸 15例 ,2 1侧。均于术前确诊。患者取全麻 ,头低脚高位 ,脐下缘置腹腔镜入腹腔 ,观察内环寻找睾丸。结果 在内环处找到睾丸 7例 ( 11侧 ) ,行开放手术引降阴囊 ;睾丸发育不良 4例 ( 6侧 ) ;腹腔内睾丸 2例 (左侧 ) ,未找到睾丸 2例。结论 腹腔镜诊断未触及睾丸定位准确 ,创伤小 ,并发症少 。

Objective To evaluate applicative value of laparoscopy in children for the diagnosis and treatment of non-palpable testes.Method We evaluated retrospectively the laparoscopic approach used in 16 boys for the diagnosis and treatment of 21 non-palpable testes. All of them were diagnosed by non-palpable testis before operation.Results 7 cases (11 testis) in the internal ring were mobilized laparoscopically, and the operation was completed by open orchidopexy. Agenesis or atrophy of the 6 testis in the ingui...