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隐睾治疗的开放性争议:最新进展

Open controversies on the treatment of undescended testis: An update.

作者信息

Liu Jie, Xiu Wenli, Sui Bangzhi, Jin Zhiyuan, Xu Xudong, Xia Nan, Duan Guangqi

机构信息

Department of Pediatric Surgery, Yijishan Hospital of Wannan Medical College, Wannan Medical College, Wuhu, China.

Institute of Digital Medicine and Computer-Assisted Surgery of Qingdao University, Qingdao University, Qingdao, China.

出版信息

Front Pediatr. 2022 Jul 27;10:874995. doi: 10.3389/fped.2022.874995. eCollection 2022.


DOI:10.3389/fped.2022.874995
PMID:35967583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9363670/
Abstract

Cryptorchidism is a common congenital malformation in pediatric urology. Although there have been many studies on the etiology of the disease, it has not been fully clarified, and while its diagnostic and treatment models have gradually approached standardization and systematization, some controversies regarding treatment remain. Additionally, although ultrasound is a non-invasive examination without ionizing radiation, its role in the evaluation of cryptorchidism remains controversial. The main basis for treating cryptorchidism is orchidopexy, and the main view on treatment age is that treatment should be performed between 6 and 12 months after birth, but no more than 18 months after birth. The view on hormone therapy is still controversial because most scholars believe that early surgery is the key to treatment. There are many surgical treatment methods for cryptorchidism, including traditional open surgery and laparoscopic surgery, which provide satisfactory results. In conclusion, the treatment of undescended testis (UDT) had been largely standardized, apart from the treatment of high intra-abdominal testis (IAT), which remains a matter of debate.

摘要

隐睾症是小儿泌尿外科常见的先天性畸形。尽管对该疾病的病因已有诸多研究,但仍未完全阐明,并且在其诊断和治疗模式逐渐趋向标准化和系统化的同时,关于治疗仍存在一些争议。此外,尽管超声检查是一种无电离辐射的非侵入性检查,但其在隐睾症评估中的作用仍存在争议。治疗隐睾症的主要依据是睾丸固定术,关于治疗年龄的主要观点是应在出生后6至12个月进行治疗,但不超过出生后18个月。关于激素治疗的观点仍存在争议,因为大多数学者认为早期手术是治疗的关键。隐睾症有多种手术治疗方法,包括传统开放手术和腹腔镜手术,效果均令人满意。总之,除了腹腔内高位睾丸(IAT)的治疗仍存在争议外,隐睾症的治疗在很大程度上已实现标准化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fee/9363670/b552e30e433f/fped-10-874995-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fee/9363670/14ada47a5b26/fped-10-874995-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fee/9363670/b552e30e433f/fped-10-874995-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fee/9363670/14ada47a5b26/fped-10-874995-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fee/9363670/b552e30e433f/fped-10-874995-g002.jpg

相似文献

[1]
Open controversies on the treatment of undescended testis: An update.

Front Pediatr. 2022-7-27

[2]
Secular trends in the incidence and timing of surgical intervention for congenital undescended testis and surgically treated hypospadias in Ontario, Canada between 1997 and 2007.

J Pediatr Urol. 2018-7-24

[3]
Shortcomings in the management of undescended testis: guideline intention vs reality and the underlying causes - insights from the biggest German cohort.

BJU Int. 2018-3-9

[4]
Undescended testis: A roundtable discussion based on clinical scenarios - Part 1.

J Pediatr Urol. 2024-2

[5]
Evaluation and management of the infant with cryptorchidism.

Curr Opin Pediatr. 2015-8

[6]
Management of undescended testis: a decision analysis.

Med Decis Making. 2013-7-2

[7]
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J Paediatr Child Health. 2017-11

[8]
The undescended testis in children and adolescents part 2: evaluation and therapeutic approach.

Pediatr Surg Int. 2022-6

[9]
Undescended testis: 513 patients' characteristics, age at orchidopexy and patterns of referral.

Arch Dis Child. 2013-11-13

[10]
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Pediatr Surg Int. 2022-6

引用本文的文献

[1]
The role of E2F1 in promoting EIF4EBP1 transcription in cryptorchid mice: association with autophagy in germ cells.

Front Genet. 2025-5-23

[2]
Laparoscopic approach of inguinal hernia associated with adult cryptorchidism: case series and literature review.

J Surg Case Rep. 2024-4-8

[3]
Retrocecal Ascending Appendix Attached to the Hepatic Flexure and Right Intra-abdominal Testis Identified During Open Appendicectomy: A Case Report.

Cureus. 2024-4-2

本文引用的文献

[1]
Comparison of Single-Incision Scrotal Orchiopexy and Traditional Two-Incision Inguinal Orchiopexy for Primary Palpable Undescended Testis in Children: A Systematic Review and Meta-Analysis.

Front Pediatr. 2022-3-15

[2]
To determine the sensitivity, specificity, and diagnostic accuracy of diffusion-weighted MRI in localization of non-palpable undescended testes taking laparoscopic findings as the gold standard: A cross-sectional study from Pakistan.

Ann Med Surg (Lond). 2021-12-18

[3]
Malignancy Yield of Testis Pathology in Older Boys and Adolescents with Cryptorchidism.

J Urol. 2022-3

[4]
Usefulness of clinical factors for diagnosing and differentiating types of testicular malposition in boys: A retrospective study.

Int J Urol. 2022-1

[5]
Robotic-Assisted Testicular Autotransplantation.

Urology. 2022-1

[6]
Anti-androgenic compounds in breast milk and cryptorchidism among Norwegian boys in the HUMIS birth cohort.

Sci Total Environ. 2022-1-10

[7]
Erythropoietin Effect on Testicular Germinal Epithelium Cells in Undescended Testis Mice Model.

Med Arch. 2021-6

[8]
Utility of Laparoscopic Approach of Orchiopexy for Palpable Cryptorchidism: A Systematic Review and Meta-Analysis.

Children (Basel). 2021-8-3

[9]
A case-cohort study of perinatal exposure to potential endocrine disrupters and the risk of cryptorchidism in the Norwegian HUMIS study.

Environ Int. 2021-12

[10]
Comparison of Two Types of Staged Laparoscopic Orchiopexy for High Intra-Abdominal Testes in Children: A Retrospective Study From a Single Center.

Front Pediatr. 2021-6-17

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