腹腔镜诊治未触及隐睾21例报告

Laparoscopic diagnosis and treatment of nonpalpable testis (21 cases report)

目的探讨腹腔镜技术在诊治未触及隐睾中的作用。方法 2001年5月至2007年8月对21例23侧未触及隐睾患者行腹腔镜探查及一期睾丸下降固定术。结果 21例患者均行腹腔镜探查成功,1例睾丸发育不良行腹腔镜隐睾切除术,1例睾丸缺如,其余19例行一期睾丸下降固定术。平均手术时间55 min,平均住院时间3 d。门诊或电话随访0.5～3年,平均1.2年,无一例睾丸萎缩和移位。结论腹腔镜探查未触及隐睾定位诊断准确率高,创伤小,可同时行一期睾丸下降固定术。

Objective To investigate the benefits of laparoscopic diagnosis and treatment for nonpalpable testis. Methods Laparoscopic diagnosis and orchiopexy was underwent in 21 patients with 23 non-palpable testis between May 2001 and August 2007. Results All the laparoscopic diagnosis were successfully performed. The mean operating time was 55 min and the mean hospital stay was 3 days. At 0.5-3 years follow-up （mean 1.2 year）, no testis are in atrophy and all testis are in an acceptable scrotal position. Conclusions Laparoscopic intervention was a technique with high accurate diagnosis and less invasion for diagnosing the location of the non-palpable testis. Laparoscopic orchiopexy is effective for treating patients with nonpalpable testis.