腹腔镜手术与开放手术诊治超声未探及睾丸的对比研究

The feasibility of inguinal exploration for the testis undetected in ultrasound

目的：通过腹腔镜手术和开放手术在超声未探及睾丸中治疗情况的比较，探讨首选腹股沟手术诊治此类病患的可能性。方法回顾性分析我们自2003年8月至2014年10月收治的132例单侧病例临床资料，经体检和超声检查未在阴囊、腹股沟及腹内发现睾丸组织，分别选择腹腔镜手术和腹股沟开放手术探查，根据探查结果决定术式完成治疗。结果探查方式中，腹腔镜手术70例，腹股沟切口手术62例，最后治疗采用腹腔镜操作18例，腹股沟操作114例。130例为睾丸发育不良予切除。结论对超声未探及睾丸的诊治，可以考虑首选腹股沟开放手术。

Objetive To discuss the feasibility of inguinal operation as the first exploratory approach for the testis undetected in ultrasound by comparing the cases in laparoscopic operation and open operation. Methods 132 cases（unilateral）,from August 2003 to October 2014,had undetectable testis confirmed by ex-amination and ultrasonic imaging.Some were treated by laparoscopic exploration,others were treated by ingui-nal canal exploration.According to the exploration results,surgical approach alteration was determined to com-plete treatment.Results 70 cases underwent laparoscopy as the first exploration,and 62 cases underwent in-guinal canal exploration.At last,18 cases received laparoscopic treatment,and 114 cases received treatment with inguinal canal approach.The pathological diagnosis of 130 testes was dysplasia.All of them were re-moved.Conclusions As the management of testis undetected in ultrasound,the inguinal canal exploration can be considered as the first choice.