Bey E, Gaget O, Jund J, Overs C, Skowron O
Département de chirurgie urologie, CHU de Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France.
Département de santé publique, CHU de Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France.
Prog Urol. 2016 Dec;26(16):1185-1190. doi: 10.1016/j.purol.2016.09.066. Epub 2016 Oct 28.
Compare the position of the undescended testis at clinical examination and under general anesthesia with the patency of an open processus vaginalis.
We included children from 2 to 18 years of age operated for a unilateral or bilateral undescended testis between January 2006 and April 2014 at the Annecy Genevois hospital, France. The analysis was conducted considering that the individual was the testis. Testicular position before surgery, under general anesthesia and patency of open processus vaginalis as a surgical finding were prospectively recorded.
Three hundred and six children were included. The analysis was conducted over 401 testes. The position at clinical examination was significantly linked to a persistent open processus vaginalis (P=0.0045). Over the 282 testes considered as candidate for Bianchi's procedure, as to say intra- or supra-scrotal under general anesthesia, 154 had a persistent processus vaginalis (55%).
There is a link between a persistent processus vaginalis and the location of the undescended testis which should encourage us not to neglect the inguinal approach, and eventually to question the relevance of Bianchi's procedure.
比较临床检查及全身麻醉下隐睾的位置与开放的鞘状突管通畅情况。
我们纳入了2006年1月至2014年4月期间在法国阿讷西热内瓦医院接受单侧或双侧隐睾手术的2至18岁儿童。分析时将个体视为睾丸。前瞻性记录手术前、全身麻醉下的睾丸位置以及作为手术发现的开放鞘状突管的通畅情况。
纳入306名儿童。对401个睾丸进行了分析。临床检查时的位置与持续开放的鞘状突管显著相关（P = 0.0045）。在282个被视为比安奇手术候选对象的睾丸中，即在全身麻醉下位于阴囊内或阴囊上的睾丸，有154个存在持续的鞘状突管（55%）。
持续的鞘状突管与隐睾的位置之间存在关联，这应促使我们不要忽视腹股沟入路，并最终质疑比安奇手术的相关性。
4级。
