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隐睾为泌尿生殖系统常见先天畸形之一,是胚胎期睾丸下降不当所致。很少有因手术而引起隐睾的报道。我院近几年来,收治8例医源性隐睾,现分析总结如下。 一、资料和方法 1.病例:本组病例,年龄3～12岁5例,成人3例,年龄最大的48岁。病史中做过同侧疝手术的5例;做过同侧腹股沟管生物胶封闭治疗的3例(以下简称非手术治疗)。全组病人人院时B超查患侧睾丸均在腹股沟管内,不能还纳入阴囊。追问病史7例陈述上次斜疝治疗前睾丸在阴囊内,1例家长不能肯定。作过斜疝手术或因斜疝非手术治疗后,发现同侧阴囊内无睾丸的时间长短不等,最短的仅术后8天,最长的达23年之久。 2.术中所见:本组病例均作与同侧腹股沟韧带平行的切口,打开腹股沟管而找到睾丸。除2例发现睾丸不在阴囊的时
Cryptorchidism is one of the common congenital malformations of the genitourinary system, caused by improper drop of testicular embryos. There are few reports of cryptorchidism due to surgery. In recent years, our hospital, admitted to eight cases of iatrogenic cryptorchidism, are analyzed as follows. First, the data and methods 1. Case: The group of patients, aged 3 to 12 years in 5 cases, 3 adults, the oldest 48 years old. Five cases of ipsilateral hernia surgery were performed in the medical history; three cases of ipsilateral inguinal hernia treatment were performed (hereinafter referred to as non-surgical treatment). All patients in the hospital when the B-test ipsilateral testes are in the inguinal canal, can not be incorporated into the scrotum. History of 7 cases asked the statement before the last treatment of skeletal hernia in the scrotum, a case of parents can not be sure. Had made of oblique hernia surgery or due to non-surgical treatment of oblique hernia, ipsilateral scrotal no testis found in the length of time, the shortest only after 8 days, the longest up to 23 years. 2 intraoperative findings: This group of patients were made with ipsilateral inguinal ligament parallel incision, open the inguinal canal and find the testicles. Except for 2 cases, testicles were not found in the scrotum