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.
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.
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。
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