腹腔镜在高位隐睾手术中的应用

Laparoscopic Surgery For High Cryptorchidism

目的探讨腹腔镜在高位隐睾手术中的应用。方法应用腹腔镜对37例患儿的41侧高位隐睾进行手术。按隐睾的部位分为三组:低位腹腔型隐睾、高位腹腔型隐睾、腹股沟管内隐睾。依睾丸的发育及精索的长度决定行一期睾丸下降固定术、Fowler-Stephen分期手术或睾丸切除术。结果29侧低位腹腔型隐睾和3侧高位腹腔型隐睾结合腹股沟切口行一期睾丸下降固定术;1侧低位腹腔型隐睾行腹腔镜下睾丸切除术,4侧高位腹腔型隐睾采用Fowler-Stephen一期(1例)、二期(3例)下降固定术;4侧腹股沟管内隐睾2侧行一期睾丸下降固定术,2侧行睾丸切除术;41侧全在腹腔镜下操作完成。结论腹腔镜手术能成功治疗高位隐睾。

Objective To study the application of laparoscopic surgery on high cryp-torchidism.Methods 41sides of patients(37cases)underwent laparoscopic surgery.Once that the cryptorchidism position was defined,the patients were divided into three groups:low celiac cryp-torchidism,high celiac cryptorchidism and cryptorchidism with in the inguinal canal.The molel of operation was depended on the development of testes and the length spermatic cord.Results29sides low celiac cryptorchidism and3sides high celiac cryptochidism were descending orchidopexy stageⅠcombinated with inguinal incision,other one side low celiac cryptorchidism was orchiec-tomy ,4sides high celiac cryptochidism were Fowler-stephen stageⅠ(one care),descending orchi -dopexy(3cases);2of4cases of cryptorchidism with in the inguinal canal were operated by testis descending orchidopexy stageⅠ,2cases had orchiectomy ,all41sides operation all laparoscopic guidance was performed.Conclusions Laparoscopic surgery is successful to treatment high cryp-torchidism.