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作者对166名男性臀位分娩婴儿作前瞻性研究,其中13例剖腹产者对生殖区无损害,134例阴道分娩者19例有臀部、阴囊或睾丸的损伤,10例(6.5％)有睾丸损伤。随访3月至4年仅3例睾丸扪诊正常,1例睾丸变为不能扪及致阴囊空虚。婴儿体重≥2500g及初产妇更易发生睾丸损伤。作者认为对臀位阴道分娩婴儿应检查并随访,以防可能发生睾丸损伤。为避免过多的检查及有危险的探查,刘无睾、隐睾、性成熟延迟或男性不育者,应询问有无臀位分娩的病史。(黄平治摘译)
A prospective study of 166 male breech birth infants, of which 13 cases of caesarean section of the reproductive zone without damage, 134 cases of vaginal delivery in 19 cases of hip, scrotum or testis injury, 10 cases (6.5%) had testicular injury . Follow-up from March to April only 3 cases of testis palpation normal, 1 case of testicles become unable to palpable and cause the scrotum emptiness. Infant weight ≥ 2500g and primipara are more prone to testicular injury. The authors believe that vaginal delivery of breech babies should be checked and followed up to prevent possible testicular damage. To avoid excessive examination and dangerous exploration, Liu no testis, cryptorchidism, delayed sexual maturity or male infertility, should ask whether there is a history of breech delivery. (Huang Pingzhi translation)