隐睾症的外科治疗结果：文献综述与分析
The results of surgical therapy for cryptorchidism: a literature review and analysis.
作者信息
Docimo S G
机构信息
Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
出版信息
J Urol. 1995 Sep;154(3):1148-52.
PURPOSE
The literature was reviewed to consolidate the diverse success rates reported for orchiopexy.
MATERIALS AND METHODS
A total of 64 articles pertaining to 8,425 undescended testicles was reviewed and found to contain evaluable data. Success was defined as scrotal position and lack of atrophy.
RESULTS
Success rates by anatomical testicular position were 74% for abdominal, 82% for peeping and 87% for canalicular testes, and 92% for those located beyond the external ring. Success rates by procedure were 89% for inguinal, 67% for Fowler-Stephens, 77% for staged Fowler-Stephens, 81% for transabdominal, 73% for 2-stage and 84% for microvascular orchiopexy.
CONCLUSIONS
The significant failure rate for proximal testes suggests that efforts to improve orchiopexy should continue.
目的
回顾文献以汇总所报道的睾丸固定术的不同成功率。
材料与方法
共回顾了64篇涉及8425例隐睾的文章，发现其中包含可评估的数据。成功定义为睾丸位于阴囊内且无萎缩。
结果
按睾丸解剖位置划分的成功率，腹腔内睾丸为74%，腹股沟管内睾丸为82%，腹股沟管外环处睾丸为87%，外环外睾丸为92%。按手术方式划分的成功率，腹股沟手术为89%，Fowler-Stephens手术为67%，分期Fowler-Stephens手术为77%，经腹手术为81%，两期手术为73%，微血管睾丸固定术为84%。
结论
近端睾丸的显著失败率表明应继续努力改进睾丸固定术。
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