保留新生儿腹股沟嵌顿疝导致的缺血睾丸的长期随访

Long term follow-up of ischemic testis caused by neonatal inguinal strangulated hernia

目的探讨新生儿腹股沟嵌顿疝导致的睾丸缺血的处理办法及其预后。方法回顾性分析我院2005年9月至2010年9月手术治疗的37例新生儿腹股沟嵌顿疝导致睾丸缺血的临床资料。结果37例腹股沟嵌顿疝导致睾丸缺血术中均给予保留睾丸，术后随访2年，除5例有睾丸萎缩、2例睾丸位置异常外，余睾丸大小位置均正常。结论术中保留新生儿腹股沟嵌顿疝导致的缺血睾丸效果良好，不要轻易切除缺血的睾丸。

Objective To investigate the treatment and prognosis of testicular ischemia caused by neonatal incarcerated inguinal hernia. Methods Clinical data of 37 testicular ischemia caused by neonatal incarcerated inguinal hernia in our hospital from September 2005- September 2010 were retrospectively analyzed. Results All 37 cases with testicular ischemia retained their testicule during surgery. After 2 years postoperative following-up, all had normal growth testis except 5 cases with testicular atrophy and 2 cases with testicular abnormal position. Conclusion The retained testis was recommended during testicular ischemia surgery caused by incarcerated hernia.