MacKellar A
Department of Paediatric Surgery, Princess Margaret Hospital for Children, Perth, Western Australia.
Aust N Z J Surg. 1988 Aug;58(8):643-5. doi: 10.1111/j.1445-2197.1988.tb07575.x.
This paper reports a prospective study of 114 boys with 126 undescended testes. The aims were to identify the position of the testis in the first year of life, to document cases of apparent ascent of the testes following a scrotal position in infancy, and to determine whether knowledge of the position of the testis in infancy might be used as a guide in later management. In 92 instances the position of the testis at birth, at 6 weeks and at 1 year of age was recorded; 84 were considered undescended and eight were in the scrotum. There was no clear indication of the position of the testis in the remaining 34. When the position of the testis was known to be undescended from birth to the end of the first year, response to hormonal therapy was disappointing. However, when there was a history of prior descent or when there was no clear information about the position in the first year of life, response to hormonal therapy was rewarding (57%) and this therapeutic modality is recommended prior to surgery for this group of patients.
本文报告了一项针对114名患有126个隐睾的男孩的前瞻性研究。目的是确定出生后第一年睾丸的位置，记录婴儿期睾丸处于阴囊位置后出现明显上升的病例，并确定婴儿期睾丸位置的信息是否可作为后期治疗的指导。在92例中记录了出生时、6周和1岁时睾丸的位置；84个被认为是隐睾，8个在阴囊内。其余34例中没有明确的睾丸位置指示。当已知睾丸从出生到第一年末处于未降状态时，激素治疗的效果令人失望。然而，当有先前下降的病史或在生命的第一年没有关于位置的明确信息时，激素治疗的效果良好（57%），对于这组患者，建议在手术前采用这种治疗方式。
