获得性隐睾的临床诊疗进展

Clinical advances of acquired undescended testis

隐睾大部分是先天性的,但部分患儿因后期发生获得性隐睾而实施睾丸下降固定术,目前国内报道较少。获得性隐睾的根本病因是精索长度的相对不足。回缩性睾丸、重度尿道下裂的男患儿发生获得性隐睾的风险显著增加,应密切随访睾丸位置至青春期以后。本文将结合现有文献,对获得性隐睾的流行病学、解剖学特点和治疗进展进行综述,以期为临床治疗提供参考。

Most cases of cryptorchidism are congenital.However,some children with acquired undescended testis underwent orchiopexy due to a late onset.It has been rarely reported in China.The cause of acquired undescended testis may be a relative deficiency of spermatic cord length.The risk of acquired undescended testis becomes significantly elevated in boys with retractile testis and severe hypospadias.The position of testis should be closely tracked until after adolescence.This review summarized the epidemiology,anatomical characteristics and treatment advances of acquired undescended testis to provide references for clinical practice.