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横过异位睾丸临床上少见。我院1986年～1988年收治三例,报告如下: 例1.8岁,于1988年3月以左侧隐睾,右侧腹股沟斜疝入院。体检:左侧阴囊空虚,左侧腹股沟未触及包块。右侧阴囊扪到睾丸。站立时右侧腹股沟管中部触及约2.0×2.0cm肿物。质软,平卧后肿物消失。术前诊断:左腹腔型隐睾,右腹股沟斜疝。于1988年3月11做左睾丸牵拉固定术,术中探查左腹股沟管、腹腔及腹膜后,均未找到睾丸。又取右大腹切口,行疝修补术时,手指探查内环周围腹壁,偶然发现内环上内侧有约1.5×1.5cm睾丸,突入腹腔。睾丸后上缘与附睾相连,其尾部有输精管及精索合并进入内环。精索与右侧精索相连,牵拉时可使右侧睾丸在阴囊内回缩。沿其精索做纯性分离,从膀胱前上向左走行,确认该睾丸为左睾丸异位于右侧。将异位睾丸和精索经膀胱前上提至左侧切口,行左睾丸牵拉固定术。因左右侧精索相连,
Clinical cross-ectopic testes rare. Our hospital from 1986 to 1988 admitted to three cases, the report is as follows: Example 1.8 years old, in March 1988 left cryptorchidism, right inguinal hernia admitted. Physical examination: left scrotum emptiness, left groin did not touch the mass. The right scrotum palpable testicles. Standing on the right side of the inguinal canal touched about 2.0 × 2.0cm tumor. Soft, disappeared after supine. Preoperative diagnosis: left abdominal cryptorchidism, right inguinal hernia. In March 1988 to do left testes traction fixation, intraoperative exploration of the left inguinal canal, abdominal and retroperitoneal, were not found in the testicles. Also take the right abdominal incision, hernia repair, the fingers around the inner wall of the abdominal exploration, accidentally found inside the inner ring about 1.5 × 1.5cm testicular, into the abdominal cavity. Testicular upper edge of the epididymis connected to the tail of the vas deferens and spermatic cord merge into the inner ring. Spermatic cord connected to the right spermatic cord, pull the right testis can be retracted in the scrotum. Purely along its spermatic cord to do isolation, walking from the front of the bladder to the left, to confirm that the testis is the left side of the testis different from the right. Ectopic testes and spermatic cord by the bladder before the lift to the left incision, line left testis traction fixation. Due to the left and right spermatices connected,