[对先前符合手术治疗条件的男孩采用人绒毛膜促性腺激素治疗隐睾症的结果]

[Results of treating cryptorchism with HCG in boys previously qualified for surgical treatment].

作者信息

Bablok L, Janczewski Z

机构信息

Oddziału Andrologii I Kliniki Połoznictwa i Ginekologii, Instytut Po oznictwa i Ginekologii AM, Warszawie.

出版信息

Pol Tyg Lek. 1993;48(27-28):603-4.

PMID:7916457

Abstract

Hundred one boys, aged between 1.5 and 13 years, previously classified for surgery for uni- or bilateral cryptorchidism were examined. In 78 patients (77.2%) cryptorchidism was diagnosed, including 51 cases (50.5%) of unilateral undescended testicle. In the remaining 23 boys (22.9%) migrating testes were found: unilateral in 6 cases (5.9%) and bilateral in 17 cases (16.8%). An improvement was achieved after HCG therapy in 21 cases of migrating testes (91.3%), partial improvement in 1 case (4.35%), and no effect in 1 case (4.35%). The treatment with HCG produced recovery in 20 cases (25.6%) of cryptorchidism, partial improvement in cases (23.2%), and no effect in 40 cases (51.2%). A complete recovery was achieved in 41 out of 101 patients, i.e. in 40.6%, partial improvement in 19 cases (18.6%), and no effect in 41 cases (40.6%). The treatment with HCG enabled an avoidance of unnecessary surgery in 40.6% of all examined boys.

摘要

对101名年龄在1.5至13岁之间、之前被分类为需进行单侧或双侧隐睾手术的男孩进行了检查。78名患者（77.2%）被诊断为隐睾，其中51例（50.5%）为单侧睾丸未降。其余23名男孩（22.9%）被发现有睾丸游走：单侧6例（5.9%），双侧17例（16.8%）。在21例睾丸游走患者中，HCG治疗后病情好转（91.3%），1例部分改善（4.35%），1例无效（4.35%）。HCG治疗使20例（25.6%）隐睾患者恢复，部分改善的有若干例（23.2%），40例（51.2%）无效。101名患者中有41例完全恢复，即40.6%，19例部分改善（18.6%），41例无效（40.6%）。HCG治疗使40.6%的受检男孩避免了不必要的手术。