保留睾丸手术治疗睾丸良性肿瘤疗效分析

Effecs of testis-sparing surgery for benign testicular tumors in children

目的 探讨保留睾丸手术治疗睾丸良性肿瘤的疗效。方法 回顾性分析 1996～ 2 0 0 3年收治睾丸良性肿瘤 16例 ,术中均行冷冻切片活检 ,病理证实为睾丸良性肿瘤后行保留睾丸手术。对 14例患儿进行术后随访 ,随访时间 6个月～ 7年 ,平均 4 .5年。结果 术中冷冻切片病理结果均与术后石蜡切片病理结果完全一致 ,睾丸囊性成熟型畸胎瘤 10例 ,睾丸表皮样囊肿 4例 ,睾丸黏液囊肿 2例。随访患侧睾丸大小正常 ,无肿瘤复发迹象。结论 保留睾丸手术是睾丸良性肿瘤行之有效的治疗方法 ;该手术保留睾丸组织 ,对患儿心理发育。

Objective The role of testis-sparing surgery in children with benign testicular tumors were emphasized by this retrospective survey. Methods Sixteen patients who undergo testis-sparing surgery between the years 1996 to 2003 were reviewed. Intraoperative frozen section histopathology had been done in all of patients. The period of follow-up ranged from 6 months to 7 years. Results In our series, as well as in the literature there was no differenle between frozen section and definitive histology.Ten cases were teratomas, 4 cases were epidermoid cysts and 2 cases were mucus cysts.Follow-up of 6 months to 7 years has shown no recurrence,and on examination,testicular volume is normal in all cases.Conclusion Testis-sparing surgery is a positive method in the management of benign testicular tumors in children.It preserves testicular volume,which is important for both cosmetic and functional roles.