腹腔镜诊治未触及隐睾29例(34侧)

Laparoscopic diagnosis and treatment of non-palpable undescended testis: Experience of 29 cases (34 sides)

目的探讨腹腔镜技术诊断和治疗未触及隐睾的疗效。方法2002年7月～2005年3月对29例34侧未触及隐睾利用腹腔镜技术进行诊断和治疗。结果29例均得到明确诊断。21侧腹腔内隐睾中16侧行一期睾丸固定术，5侧行分期Fowler-Stephens睾丸固定；13侧为睾丸缺如。29例随访0，5～1年，睾丸无回缩或萎缩。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 discuss the laparoscopic diagnosis and treatment for non - palpable undescended testis. Methods Laparoscopy was utilized in the diagnosis and treatment of 29 cases of non -palpable undescended testis （34 sides） from July 2002 to March 2005. Results The diagnosis was clarified in all the 29 cases. Intraabdominal testis was found in 21 sides （primary orchidopexy in 16 sides and two - staged Fowler - Stephens orchidopexy in 5 sides） and absent testis, 13 sides. Follow - up observations for 0. 5 - 1 year in 29 cases showed no testicular retraction or atrophy. Conclusions Laparoscopic intervention, characterized with accurate diagnosis, little invasion, and quick recovery, can be the first choice for the diagnosis and treatment of non - palpable undescended testis. The primary orchidopexy of testis may have satisfactory results if possible.