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[隐睾症激素治疗的外科手术方面]

[Surgical aspects of hormone therapy in cryptorchism].

作者信息

Kees A

出版信息

Padiatr Padol. 1986;21(4):389-96.

PMID:2882460
Abstract

46 boys were sent for operation and have been treated primary with LH-RH nasal spray. Only 5 boys (10.9%) achieved permanent scrotal position. (Follow up time 15.8 months). Nevertheless we could see during hormonal treatment clinical improvement of testicular position in 46.8%. Partial mobilisation can improve the result of the operation. Enlargement of hypoplastic genitalia is a positive side-effect of hormonal therapy. Poor results from hormonal therapy have boys with congenital anomalies as hypoplastic genitalia, intraabdominal or intracanalicular position of testis and combinations with other malformations. Better results from hormonal therapy have testes in a low position with normal developed external genitalia.

摘要

46名男孩被送去接受手术,并首先接受了促性腺激素释放激素(LH-RH)鼻喷雾剂治疗。只有5名男孩(10.9%)实现了睾丸永久性降至阴囊位置。(随访时间为15.8个月)。然而,在激素治疗期间,我们发现46.8%的患者睾丸位置有临床改善。部分松解术可以提高手术效果。激素治疗的一个积极副作用是促进发育不良的生殖器增大。激素治疗效果不佳的情况见于患有先天性异常的男孩,如生殖器发育不良、睾丸位于腹腔内或腹股沟管内,以及合并其他畸形。激素治疗效果较好的情况是睾丸位置较低且外生殖器发育正常的患者。

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