1995 - 2014年澳大利亚睾丸固定术的翻修频率

Frequency of revision orchidopexy in Australia 1995-2014.

作者信息

Vikraman Jaya, Vidmar Suzanna, Donath Susan, Hutson John M

机构信息

Douglas Stephens Surgical Research Laboratory, Murdoch Childrens Research Institute, Melbourne, Australia; Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia.

Clinical Epidemiology and Biostatistics, Murdoch Childrens Research Institute, Melbourne, Australia.

出版信息

J Pediatr Surg. 2017 Dec;52(12):1940-1943. doi: 10.1016/j.jpedsurg.2017.08.061. Epub 2017 Sep 5.

DOI:10.1016/j.jpedsurg.2017.08.061

PMID:28964408

Abstract

BACKGROUND/AIM: International criteria currently suggest orchidopexy at 6-12months for congenital undescended testis (UDT). Some children require repeat orchidopexy for recurrent UDT. This study aimed to assess practice in Australia over a 20-year period.

METHODS

We examined 20years of Australian orchidopexy data (1995-2014) from the Department of Human Services to explore the national revision orchidopexy rates over time.

RESULTS

The total number of orchidopexy revisions was 890 over 20years compared with 25,984 primary operations. More than 50% of all primary and revision orchidopexies in 0-14year-old boys were performed in major population centers of NSW and Victoria (which hold 52% male population of same age), with a small number of revisions on 15-24year-old males. The incidence of revision orchidopexy significantly decreased over the 20-year period in boys ages 0-14years old, from 276 operations between 1995 and 1999 decreasing to 165 operations between 2010 and 2014 (-53%), compared to a population increase of +15% (p<0.05).

CONCLUSION

These data demonstrate a decrease in revision orchidopexy since 1995, which may be related to change in referral practice with more children undergoing orchidopexy (primary and revision) by pediatric surgeons over the 20-year period.

LEVEL OF EVIDENCE

Level IV.

TYPE OF STUDY

Therapeutic Case Series with no Comparison Group.

摘要

背景/目的：国际标准目前建议对先天性隐睾（UDT）在6至12个月时进行睾丸固定术。一些儿童因复发性UDT需要再次进行睾丸固定术。本研究旨在评估澳大利亚20年间的相关情况。

方法

我们查阅了人类服务部20年（1995 - 2014年）的澳大利亚睾丸固定术数据，以探讨全国随时间推移的再次睾丸固定术发生率。

结果

20年间，再次睾丸固定术总数为890例，而初次手术为25,984例。0至14岁男孩的所有初次和再次睾丸固定术中，超过50%在新南威尔士州和维多利亚州的主要人口中心进行（这两个州占同年龄段男性人口的52%），15至24岁男性的再次手术数量较少。在0至14岁男孩中，再次睾丸固定术的发生率在20年间显著下降，从1995年至1999年的276例手术降至2010年至2014年的165例手术（下降53%），而人口增长了15%（p<0.05）。