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隐睾诊断与治疗延误原因的研究。

A study of the sources of delay in the diagnosis and treatment of undescended testicle.

作者信息

Boggis A R, Rowlatt R J

出版信息

J R Coll Gen Pract. 1984 Aug;34(265):440-1.

PMID:6147410
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1959876/
Abstract

Undescended testicle is the term applied to a group of congenital conditions which by their nature should be detected at birth. A study of the identification and treatment of cases of undescended testicle in one health district was undertaken through examination of hospital records. Altogether, only one in five cases of undescended testicle had been detected at birth. The main agents responsible for the detection and referral of cases were the school medical services and general practitioners. An average of 42 per cent of these boys had been seen as inpatients or outpatients by either surgeons or paediatricians before the diagnosis of undescended testicle was made. This implies that neonatal examination is inadequate or that unnecessary operations are being performed, or that there is a different aetiology to the condition.

摘要

隐睾是指一组先天性疾病,从本质上讲,这些疾病在出生时就应被检测出来。通过查阅医院记录,对某一健康区隐睾病例的识别和治疗情况进行了一项研究。总体而言,隐睾病例中只有五分之一在出生时被检测出来。负责病例检测和转诊的主要机构是学校医疗服务部门和全科医生。在隐睾症被诊断出来之前,这些男孩中平均有42%曾作为住院患者或门诊患者接受过外科医生或儿科医生的诊治。这意味着新生儿检查不充分,或者正在进行不必要的手术,或者该病症存在不同的病因。

相似文献

1
A study of the sources of delay in the diagnosis and treatment of undescended testicle.隐睾诊断与治疗延误原因的研究。
J R Coll Gen Pract. 1984 Aug;34(265):440-1.
2
[Previous testicular position in boys who underwent orchidopexy due to undescended testis at the Alkmaar Medical Center, the Netherlands, during the period 1986-1999].[1986年至1999年期间,在荷兰阿尔克马尔医疗中心因隐睾接受睾丸固定术的男孩的既往睾丸位置]
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Identification of a duplicated undescended testicle (polyorchia): an unexpected benefit of laparoscopic localization.重复隐睾(多睾症)的识别:腹腔镜定位的意外益处
J Laparoendosc Surg. 1996 Mar;6 Suppl 1:S107-14.
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The undescended testicle: diagnosis and management.隐睾:诊断与治疗
Am Fam Physician. 2000 Nov 1;62(9):2037-44, 2047-8.
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[Significance of the registration of testis localization in child health services for the avoidance of unnecessary orchiopexies].[在儿童保健服务中进行睾丸定位登记对避免不必要的睾丸固定术的意义]
Ned Tijdschr Geneeskd. 1989 Oct 21;133(42):2084-6.
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Cryptorchidism: the role of medical education in diagnosis.隐睾症:医学教育在诊断中的作用
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Diagnosis and treatment: the undescended testicle.诊断与治疗:隐睾
Pediatrics. 1965 Nov;36(5):786-8.
8
[A case of torsion of the undescended testicle].
Hinyokika Kiyo. 1986 Mar;32(3):473-6.
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Cryptorchidism and testicular neoplasia.隐睾症与睾丸肿瘤。
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[Long term results of orchidopexy: transscrotal fixation versus Dartos-pouch].睾丸固定术的长期结果:经阴囊固定术与肉膜囊固定术对比
Zentralbl Chir. 2004 Dec;129(6):476-9. doi: 10.1055/s-2004-832394.

引用本文的文献

1
Auditing community screening for undescended testes.对隐睾症社区筛查的审计。
Arch Dis Child. 1990 Aug;65(8):888-90. doi: 10.1136/adc.65.8.888.
2
Cryptorchidism: a prospective study of 7500 consecutive male births, 1984-8. John Radcliffe Hospital Cryptorchidism Study Group.隐睾症:对1984年至1988年连续7500例男性出生病例的前瞻性研究。约翰·拉德克利夫医院隐睾症研究小组。
Arch Dis Child. 1992 Jul;67(7):892-9. doi: 10.1136/adc.67.7.892.
3
Late diagnosis of cryptorchidism: a failure of medical screening?隐睾症的延迟诊断:医学筛查的失败?
Arch Dis Child. 1992 Jun;67(6):728-30. doi: 10.1136/adc.67.6.728.

本文引用的文献

1
Surgical experiences from 1,222 operations for undescended testis.1222例隐睾手术的外科经验。
J Am Med Assoc. 1956 Feb 25;160(8):634-41. doi: 10.1001/jama.1956.02960430024005.
2
Histologic observations in crytorchidism: the congenital germinal-cell deficiency of the undescended testis.隐睾症的组织学观察:未降睾丸的先天性生殖细胞缺乏。
J Pediatr Surg. 1969 Dec;4(6):606-13. doi: 10.1016/0022-3468(69)90487-4.
3
Studies on cryptorchidism: a comparison of histological findings in the germinative epithelium before and after the second year of life.隐睾症研究:生命第二年前后生精上皮组织学结果的比较
J Pediatr Surg. 1974 Aug;9(4):445-50. doi: 10.1016/s0022-3468(74)80003-5.
4
Reproductive and endocrine function after surgical treatment of bilateral crytorchidism.双侧隐睾症手术治疗后的生殖与内分泌功能
Lancet. 1974 Aug 10;2(7876):311-4. doi: 10.1016/s0140-6736(74)91692-4.