睾丸自体移植：对腹腔内睾丸管理的有效方法的17年回顾。
Testicular autotransplantation: a 17-year review of an effective approach to the management of the intra-abdominal testis.
作者信息
Bukowski T P, Wacksman J, Billmire D A, Lewis A G, Sheldon C A
机构信息
Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
出版信息
J Urol. 1995 Aug;154(2 Pt 1):558-61.
PURPOSE
Patients with intra-abdominal testes represent a small but challenging group who require innovative therapy. We report our 17-year experience with testicular autotransplantation.
MATERIALS AND METHODS
Testicular autotransplantation was performed in 23 patients with 27 intra-abdominal testes.
RESULTS
The success rate was 96% and average operative time was 4.25 hours with 40 to 90 minutes for vascular anastomoses. A contralateral Fowler-Stephens procedure had previously failed in 3 cases.
CONCLUSIONS
Since the variability of collateral blood supply in patients with high undescended testes may potentially compromise the Fowler-Stephens procedure, we believe that testicular autotransplantation should be strongly considered in such patients, particularly those with bilateral undescended testicles.
目的
腹腔内睾丸患者是一个规模较小但颇具挑战性的群体，需要创新疗法。我们报告了我们在睾丸自体移植方面17年的经验。
材料与方法
对23例患有27个腹腔内睾丸的患者进行了睾丸自体移植。
结果
成功率为96%，平均手术时间为4.25小时，血管吻合时间为40至90分钟。3例患者先前对侧Fowler-Stephens手术失败。
结论
由于高位隐睾患者侧支血供的变异性可能会影响Fowler-Stephens手术，我们认为对此类患者，尤其是双侧隐睾患者，应强烈考虑睾丸自体移植。
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