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晚期睾丸固定术的患病率与一些后天性隐睾相符。

Prevalence of late orchidopexy is consistent with some undescended testes being acquired.

作者信息

Donaldson K M, Tong S Y, Hutson J M

机构信息

F. Douglas Stephens Surgical Research Laboratory, Department of General Surgery, Royal Children's Hospital, Melbourne, Australia.

出版信息

Indian J Pediatr. 1996 Nov-Dec;63(6):725-9. doi: 10.1007/BF02730917.

DOI:10.1007/BF02730917
PMID:10830052
Abstract

To diagnose the incidence of orchidopexy versus age over a 15-year period, a study was conducted of all patients discharged from a single institution for orchidopexy with reference to age during operation. The hypothesis drawn was that some boys have acquired UDT and therefore, will present late despite recommendations for early diagnosis and treatment. The study was conducted on patients from Royal Children's Hospital, Melbourne (1980-94). The results suggested that while the optimal age for management of congenital UDT has been lowered to one to two years of age by under-graduate education, the persistence of a significant number of older children undergoing surgery suggests that some UDT's are acquired. It also showed that the proportion of orchidopexies performed in infancy increased over the 15-year period while the proportion performed in late childhood remained constant.

摘要

为了诊断15年间睾丸固定术发生率与年龄的关系,对一家机构所有因睾丸固定术出院的患者进行了一项关于手术时年龄的研究。得出的假设是,一些男孩已患上隐睾症,因此,尽管有早期诊断和治疗的建议,他们仍会延迟就诊。该研究针对墨尔本皇家儿童医院(1980 - 1994年)的患者进行。结果表明,虽然通过本科教育,先天性隐睾症的最佳治疗年龄已降至1至2岁,但仍有大量大龄儿童接受手术,这表明一些隐睾症是后天获得的。研究还表明,在这15年期间,婴儿期进行睾丸固定术的比例有所增加,而儿童晚期进行手术的比例保持不变。

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引用本文的文献

1
Orchidopexy and its impact on fertility.睾丸固定术及其对生育能力的影响。
Pediatr Surg Int. 2007 Jul;23(7):625-32. doi: 10.1007/s00383-007-1900-3. Epub 2007 Mar 13.
2
The nomad testis.游走睾丸
Arch Dis Child. 2007 Jan;92(1):3. doi: 10.1136/adc.2006.098087.
3
Prevalence of acquired undescended testis in 6-year, 9-year and 13-year-old Dutch schoolboys.荷兰6岁、9岁和13岁男学生后天性隐睾的患病率。

本文引用的文献

1
Surgical treatment of cryptorchidism.
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2
Can undescended testes be acquired?
Lancet. 1993 Feb 20;341(8843):504. doi: 10.1016/0140-6736(93)90269-m.
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The retractile testis: time for a reappraisal.回缩性睾丸:重新评估的时机。
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The retractile testis.
回缩性睾丸
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Assent to ascent of the testis.睾丸上升的同意。
Br J Urol. 1988 Feb;61(2):146-7. doi: 10.1111/j.1464-410x.1988.tb05064.x.
7
Orchidopexy: the effect of changing patterns of referral and treatment on outcome.睾丸固定术:转诊和治疗模式的改变对治疗结果的影响。
Br J Surg. 1987 Jul;74(7):636-8. doi: 10.1002/bjs.1800740736.
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Boys with late descending testes: the source of patients with "retractile" testes undergoing orchidopexy?睾丸下降延迟的男孩:接受睾丸固定术的“回缩性”睾丸患者的来源?
Br Med J (Clin Res Ed). 1986 Sep 27;293(6550):789-90. doi: 10.1136/bmj.293.6550.789.
9
Undescended testis: the effect of treatment on subsequent risk of subfertility and malignancy.隐睾症:治疗对后续生育力低下和恶性肿瘤风险的影响。
J Pediatr Surg. 1986 Aug;21(8):691-6. doi: 10.1016/s0022-3468(86)80389-x.