残余睾丸切除术。
The remnant orchiectomy.
作者信息
Rozanski T A, Wojno K J, Bloom D A
机构信息
Department of Surgery, Brooke Army Medical Center, San Antonio, Texas, USA.
出版信息
J Urol. 1996 Feb;155(2):712-3; discussion 714.
PURPOSE
We examined and characterized the histological features of remnant testicular tissue distal to the internal inguinal ring in boys who underwent exploration for a nonpalpable testis.
MATERIALS AND METHODS
The medical records and histology of 48 boys (50 remnants) who underwent exploration for a nonpalpable testis during a 10-year period were reviewed in detail.
RESULTS
Remnant tissue was characterized by evidence of ischemia and necrosis (scar, calcification, hemosiderin and hyalinization) suggestive of a vascular accident. Viable germ cells were identified in 5 remnants.
CONCLUSIONS
A 10% incidence of viable germ cells in remnant testicular tissue warrants exploration and removal of all remnant tissue in boys who undergo exploration for a nonpalpable testis.
目的
我们对因隐睾接受探查手术的男孩腹股沟内环远端残留睾丸组织的组织学特征进行了检查和描述。
材料与方法
详细回顾了48名男孩（50个残留组织）在10年期间因隐睾接受探查手术的病历和组织学情况。
结果
残留组织的特征为存在缺血和坏死迹象（瘢痕、钙化、含铁血黄素和玻璃样变），提示发生了血管意外。在5个残留组织中发现了活的生殖细胞。
结论
残留睾丸组织中活的生殖细胞发生率为10%，这表明对于因隐睾接受探查手术的男孩，有必要探查并切除所有残留组织。
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