Mayr J, Rune G M, Holas A, Schimpl G, Schmidt B, Haberlik A
Department of Paediatric Surgery, University of Graz, Austria.
Eur J Pediatr. 1995 Nov;154(11):893-5. doi: 10.1007/BF01957500.
Among 460 children who had an orchiopexy (ORP), we identified 72 children who had attended our institution 1-12 years earlier and in whom the testicular position had been specified. Of the 72 boys 19 were had ascended testes (26%). The age at ORP of the children with ascent of the testes was 7.0 years (1.8-14.0 years). Light and electron microscopy of 13 testicular biopsies taken at ORP, showed alterations of germ cells and Sertoli cells, similar but less pronounced than alterations seen in congenital undescended testes. Conclusion. A normally positioned testis may ascend into the inguinal region or upper scrotum and remain there fixed. This secondary cryptorchidism does not usually respond to human chorionic gonadotropin treatment and must be corrected by orchiopexy.
在460例行睾丸固定术（ORP）的儿童中，我们确定了72名在1至12年前曾就诊于我们机构且睾丸位置已明确的儿童。在这72名男孩中，19名有睾丸上升（26%）。睾丸上升患儿的ORP年龄为7.0岁（1.8 - 14.0岁）。对在ORP时所取的13份睾丸活检组织进行光镜和电镜检查，显示生殖细胞和支持细胞有改变，与先天性隐睾所见改变相似但程度较轻。结论：正常位置的睾丸可能升入腹股沟区或阴囊上部并固定于该处。这种继发性隐睾通常对人绒毛膜促性腺激素治疗无反应，必须通过睾丸固定术予以纠正。
