异位睾丸11例报告

The diagnosis and treatment of ectopic testes (Report of 11 cases)

目的:探讨异位睾丸的诊断和治疗。方法:对11例异位睾丸的临床资料进行临床回顾性分析。结果:11例异位睾丸中,2例位于股管因发育太差行睾丸切除;1例位于会阴,1例位于阴囊外侧,7例位于腹外斜肌腱膜浅面的DenisBrowne袋中,均行同侧睾丸固定术。术后随访3个月～14年,治疗效果良好。结论:异位睾丸属于隐睾的一个亚类,同隐睾有相似的病理和生理变化,但在解剖部位、精索长度及治疗方式上与其他类型隐睾有差异。早期手术是惟一的治疗办法,根据睾丸情况选择行睾丸复位固定或睾丸切除。

Objective.. To improve the diagnosis and treatment of ectopic testes in children. Methods： Clinical data of 11 cases of ectopic testes were retrospectively analyzed. Results：Among 11 cases of ectopic testes, two were located in femoral canal and had orchiectomy because of severe atrophy. Among the other 9 cases, one was in perineum, one in lateral to the scrotum, seven in superficial inguinal pouch of Denis Browne. All the testes of the 9 cases underwent orchiopexy. The follow up time in this group ranged from 3 months to 14 years and no complications were observed. Conclusions：The ectopic testes is a subtype of undescended testes, and has similar pathological and physiological changes with undescented testes of other positions. It is different from other types of undescended testes in anatomic positions and spermatic cords. So the therapy is also different from other types of undescended testes. Early surgical correction is the only therapy and it can be undergone orchiectomy or orchiopexy according to the conditions of the ectopic testes.