腹腔镜诊断和治疗隐睾(附15例报告)

目的探讨腹腔镜在隐睾的诊断与治疗中的价值及其经验总结。方法1999年3月至2003年12月对15例（17侧）隐睾应用腹腔镜进行诊断和治疗。其中5例为成人腹腔型隐睾，4例（5侧）为成人腹股沟高位萎缩隐睾，均在腹腔镜下作切除术，6例（7侧）为腹股沟隐睾，在腹腔镜下作隐睾下降、固定术。结果手术均获得成功。术中出血量少；术后住院时间为1-3d；无术后并发症。结论腹腔镜技术对不同类型的隐睾在诊断和治疗方面均能取得较好的效果，是诊断、治疗这类疾病的微创技术。

Objective To investigate the value and initial experience in diagnosis and treatment of cryptorehidism with laparoscope. Methods 15 patients（ 17side of undescended testises） were examinated and treated with laparoscope from March 1993 to December 2003. Of the 15 cases, 5 cases of adult intra-abdomenal cryptorchidism and 4 cases of inguinal tube cryptorchidism combined with testes atrophy were orchiectomy , 6 cases of inguinal tube cryptorchidism without testes atrophy （7 side of testises） were treated by orchidopexy. Results All 15 cases were successful performed with laparoscope. No complication was occurred and length of stay was 1 - 3d. Conclusion Laparescopic surgery is an effective and minimal invasive technique for diagnosis and treatment of cryptorchidism.