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Undescended testis: What paediatricians need to know.隐睾:儿科医生需要了解的内容。
J Paediatr Child Health. 2017 Nov;53(11):1101-1104. doi: 10.1111/jpc.13744.
2
Risk factors for cryptorchidism.隐睾症的风险因素。
Nat Rev Urol. 2017 Sep;14(9):534-548. doi: 10.1038/nrurol.2017.90. Epub 2017 Jun 27.
3
Acquired cryptorchidism: More harm than thought?
J Pediatr Urol. 2016 Aug;12(4):236.e1-6. doi: 10.1016/j.jpurol.2016.04.010. Epub 2016 May 27.
4
Undescended testis - current trends and guidelines: a review of the literature.隐睾症——当前趋势与指南:文献综述
Arch Med Sci. 2016 Jun 1;12(3):667-77. doi: 10.5114/aoms.2016.59940. Epub 2016 May 18.
5
Laparoscopy in children and its impact on brain oxygenation during routine inguinal hernia repair.儿童腹腔镜检查及其在常规腹股沟疝修补术中对脑氧合的影响。
J Minim Access Surg. 2017 Jan-Mar;13(1):51-56. doi: 10.4103/0972-9941.181800.
6
Cryptorchidism and Fertility.隐睾症与生育能力
Clin Med Insights Reprod Health. 2015 Dec 22;9:39-43. doi: 10.4137/CMRH.S25056. eCollection 2015.
7
Operative management of cryptorchidism: guidelines and reality--a 10-year observational analysis of 3587 cases.隐睾症的手术治疗:指南与现实——对3587例病例的10年观察分析
BMC Pediatr. 2015 Sep 10;15:116. doi: 10.1186/s12887-015-0429-1.
8
Laparoscopy in the surgical management of the non-palpable testis.腹腔镜在不可触及睾丸的手术治疗中的应用。
Front Pediatr. 2014 Apr 8;2:28. doi: 10.3389/fped.2014.00028. eCollection 2014.
9
Evolution of single practice trends in the surgical approach to the undescended testicle.隐睾手术入路中单一体位选择趋势的演变。
J Urol. 2011 Jun;185(6 Suppl):2451-4. doi: 10.1016/j.juro.2011.01.010. Epub 2011 Apr 28.
10
Case in which a Testicle Congenitally Displaced into the Perinaeum was Successfully Transferred to the Scrotum.先天性移位至会阴部的睾丸成功转移至阴囊的病例。
Br Med J. 1879 Jan 4;1(940):7. doi: 10.1136/bmj.1.940.7.

经阴囊横切口治疗小儿中低位隐睾症:796例经验

Transscrotal transverse incision for the treatment of middle and low cryptorchidism in children: experience from 796 cases.

作者信息

Wang Yun-Jin, Chen Liu, Zhang Qi-Liang, Lin Yu, Cui Xu, Chen Jian-Cai, Zhou Chao-Ming

机构信息

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Fuzhou, 350001, People's Republic of China.

出版信息

BMC Surg. 2020 Mar 17;20(1):51. doi: 10.1186/s12893-020-00710-1.

DOI:10.1186/s12893-020-00710-1
PMID:32183767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7079498/
Abstract

BACKGROUND

The purpose of this study was to summarize our clinical experience with transscrotal transverse incision in the treatment of low and middle cryptorchidism in children.

METHODS

A total of 796 children with low or middle cryptorchidism participated in this study from March 2012 to May 2018. Transscrotal transverse incision was used to treat low and middle cryptorchidism. Symptoms and signs were followed up at 1 week, 1 month, 3months and every six to 12 months thereafter.

RESULTS

Testicular descent fixation through transverse scrotal incision was successfully performed in all 796 children. All patients were discharged 1-2 days after the operation. During hospitalization and follow-up, 35 patients had complications, including 7 cases of cryptorchidism recurrence, 5 cases of poor scrotal incision healing, and 23 cases of scrotal haematoma. There were no complications, such as bladder injury, testicular atrophy, inguinal hernia or hydrocele.

CONCLUSION

Transscrotal transverse incision is a safe and feasible method for the treatment of middle and low cryptorchidism. It has the advantages of less trauma and an aesthetic scar after operation.

摘要

背景

本研究的目的是总结我们采用经阴囊横切口治疗小儿中低位隐睾症的临床经验。

方法

2012年3月至2018年5月,共有796例中低位隐睾症患儿参与本研究。采用经阴囊横切口治疗中低位隐睾症。术后1周、1个月、3个月及此后每6至12个月进行症状和体征随访。

结果

796例患儿均成功经阴囊横切口行睾丸下降固定术。所有患者术后1 - 2天出院。住院及随访期间,35例出现并发症,其中隐睾复发7例,阴囊切口愈合不良5例,阴囊血肿23例。未出现膀胱损伤、睾丸萎缩、腹股沟疝或鞘膜积液等并发症。

结论

经阴囊横切口是治疗中低位隐睾症的一种安全可行的方法。它具有创伤小、术后瘢痕美观的优点。