核除术治疗儿童良性睾丸肿瘤

Testicular-sparing surgery for children benign testicular tumors

目的探讨睾丸肿瘤核除术治疗儿童良性睾丸肿瘤的可行性。方法22例患者在2000-2005年间行睾丸肿瘤核除术，复习他们的临床资料、组织病理学及随访数据。随访时间1—5年。结果睾丸肿瘤患者就诊时AFP和β-HCG水平在正常范围，术前均行睾丸超声及CT检查，每例患者术中均行腹股沟探查游离精索，肿瘤摘除后在修复睾丸前需行冰冻切片证实为良性，随访1—5年仅1例复发。在研究中所有睾丸组织均正常。结论睾丸肿瘤核除术能够保护睾丸组织，利于整形及功能的恢复，且术后复发率极低，因此是小儿良性睾丸肿瘤治疗中是一种有效的方法。

Objective To study the feasibility of testicular-sparing surgery for children benign testicular tumors. Methods 22 patients who underwent testicular-sparing surgery between the years 1995 and 2000 were reviewed.. Clinical data, histopatbology, and follow-up data were obtained from office charts. The period of follow-up ranged from 1 to 5 years. Results The alpha-fetoprotein and beta-human choHonic gonadotropin levels were within normal limits for all the patients. Testicular ultrasonography was carried out on all patients, and groin exploration with spermatic cord isolation was performed in each case. After enucleation,frozen sections to confirm benignity.was carried out before repair of the testis. Follow-up of 1 to 5 years has shown only one recurrence, and on examination, testicular volume is normal in all cases. Conclusions Testicular-sparing surgery preserves testicular volume, which is important for both Cosmetic and functional purposes. It is a viable and useful method in the management of benign testicular tumors in children.