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目的 探讨腹腔镜在未触及睾丸的隐睾中的诊断及治疗应用。方法 应用腹腔镜对13例未触及睾丸的隐睾患儿作检查。术中发现腹腔内如有精索盲端或发育差的精索 ,诊断为睾丸缺如 ;如发育好的精索进入内环 ,做腹股沟探查 ;如睾丸位于腹腔内 ,诊断为腹腔内睾丸 ,做分期Fowler Stephen手术 ,或一、二期睾丸固定术等处理。 结果 睾丸缺如 6例 (4 6 .2 % ) ;腹腔内睾丸 4例(30 .8% ) ;睾丸于腹股沟 3例 (2 3 .1% )。 2例腹腔内睾丸 ,做分期Fowler Stephen手术。结论 应用腹腔镜可准确诊断未触及睾丸的隐睾 ,并可做相应的治疗。
Objective To investigate the diagnosis and treatment of laparoscopy without cryptorchidism in testis. Methods Laparoscopy was performed on 13 children with cryptorchidism who had not touched the testes. If the intraoperative intraoperative findings of the spermatic cord blind or poorly developed spermatic cord, the diagnosis of absence of testicular; such as the development of good spermatic cord into the inner ring, do groin exploration; such as testis located in the abdominal cavity, the diagnosis of intraperitoneal testicular, To do staging Fowler Stephen surgery, or one or two testicular fixation and other treatment. Results Testicular absent in 6 cases (46.2%); intraperitoneal testis in 4 cases (30.8%); testes in the groin in 3 cases (23.1%). 2 cases of intraperitoneal testis, staged Fowler Stephen surgery. Conclusion The application of laparoscopy can accurately diagnose cryptorchidism without touching the testes and can do the corresponding treatment.