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先天性睾丸下降不全:完整疝囊的意义

Congenital testicular maldescent: significance of the complete hernial sac.

作者信息

Donnell S C, Rickwood A M, Jee L D, Jackson M

机构信息

Department of Paediatric Urology, Royal Liverpool Children's Hospital, UK.

出版信息

Br J Urol. 1995 Jun;75(6):702-3. doi: 10.1111/j.1464-410x.1995.tb07374.x.

DOI:10.1111/j.1464-410x.1995.tb07374.x
PMID:7613822
Abstract

OBJECTIVE

To test the hypothesis that testicular maldescent is rarely congenital in the absence of a complete hernial sac.

PATIENTS AND METHODS

The study comprised 110 boys undergoing orchidopexy. Operative findings (complete hernial sac versus no hernial sac) were compared with recorded testicular descent at birth.

RESULTS

Among 70 testes recorded as maldescended neonatally there was no example without a complete hernial sac at orchidopexy. Among 60 recorded as descended neonatally, 43 had no sac at orchidopexy.

CONCLUSIONS

The findings are consistent with the hypothesis, though not with the proposition, that the presence of a complete hernial sac at orchidopexy constitutes proof of congenital testicular maldescent.

摘要

目的

验证在没有完整疝囊的情况下,睾丸未降很少是先天性的这一假说。

患者与方法

该研究纳入了110名接受睾丸固定术的男孩。将手术结果(完整疝囊与无疝囊)与出生时记录的睾丸下降情况进行比较。

结果

在70个出生时记录为睾丸未降的睾丸中,睾丸固定术时没有一个没有完整疝囊。在60个出生时记录为已降的睾丸中,43个在睾丸固定术时没有疝囊。

结论

这些发现与该假说一致,但与“睾丸固定术时有完整疝囊即构成先天性睾丸未降的证据”这一观点不一致。

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1
Congenital testicular maldescent: significance of the complete hernial sac.先天性睾丸下降不全:完整疝囊的意义
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Surgical outcome of orchidopexy. II. Trapped and ascending testes.
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Undescended testes: early versus late maldescent.隐睾:早期与晚期睾丸下降不全
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[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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引用本文的文献

1
Incidence at birth and natural history of cryptorchidism: a study of 10,730 consecutive male infants.隐睾症的出生发病率及自然病史:对10730例连续男婴的研究
J Endocrinol Invest. 2002 Sep;25(8):709-15. doi: 10.1007/BF03345105.
2
A simple alternative technique of orchiopexy for high undescended testis.一种用于高位隐睾的简单的睾丸固定术替代技术。
Ann R Coll Surg Engl. 1998 Jan;80(1):69-71.
3
Is the ascending testis actually 'stationary'? Normal elongation of the spermatic cord is prevented by a fibrous remnant of the processus vaginalis.
上升的睾丸实际上是“静止的”吗?鞘突的纤维残余物会阻止精索正常延长。
Pediatr Surg Int. 1997 Feb;12(2-3):155-7.