Wilson-Storey D, MacKinnon A E
Department of Paediatric Surgery, Children's Hospital, Sheffield, England.
J Pediatr Surg. 1992 Jan;27(1):89-92. doi: 10.1016/0022-3468(92)90114-m.
An empty scrotum with an impalpable testis/testes presents a difficult diagnostic and therapeutic problem. Many methods have been used in an attempt at, or as an aid to, the localization of these gonads including venography, ultrasonography, hormone manipulation, and surgical exploration. Laparoscopy has been recommended as an aid to diagnosis. We reviewed our experience with the laparoscope in the diagnosis and management of this problem over a 7-year period. Laparoscopy permitted planning of the approach to orchidopexy, depending on whether the vessels entered the deep inguinal ring. In the latter group 48% of the testes were found to be atrophic. We also found the laparoscope to be of value in performing the first stage of the Fowler-Stephens long loop vas orchidopexy in three cases, with long-term viability of the testes in two of these.
阴囊空虚且触不到睾丸会带来诊断和治疗难题。人们尝试了多种方法来定位这些性腺，或辅助定位，包括静脉造影、超声检查、激素调控及手术探查。腹腔镜检查已被推荐用于辅助诊断。我们回顾了7年间使用腹腔镜诊断和处理该问题的经验。腹腔镜检查有助于规划睾丸固定术的手术入路，这取决于血管是否进入腹股沟深环。在后一组中，发现48%的睾丸萎缩。我们还发现，腹腔镜检查对3例患者进行Fowler-Stephens长襻输精管睾丸固定术的第一阶段手术很有价值，其中2例患者的睾丸具有长期存活能力。
