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小儿先天性腹内型隐睾症,如不能进行常规睾丸固定时,为了预防恶变,以往需手术切除睾丸。目前,由于显微外科在临床的广泛应用,为腹内型隐睾的治疗开拓了一个新的领域,可使一部分睾丸得以挽球。我科采用显微外科技术,先后为5例腹内型隐睾患儿施行了睾丸自体移植,获得成功。现报告如下:二、手术方法取高位髂腹股沟切口,切开皮肤、肌肉,在膀胱外侧后方找到睾丸,游离精索血管及输精管至所需长度。然后在腹股沟区解剖出腹壁下动静脉约5cm,按所需长度高位切断睾丸动静脉,进行灌洗后,在放大10~20倍手
Children with congenital intra-abdominal cryptorchidism, such as conventional testis can not be fixed, in order to prevent malignant transformation, the past surgery to remove the testicles. At present, due to the wide application of microsurgery in clinic, a new field for the treatment of intra-abdominal cryptorchidism can be opened up, and part of the testicles can be pillared. My department uses microsurgical techniques, has 5 cases of intra-abdominal cryptorchidism in children with testicular autotransplantation, to be successful. Now report as follows: Second, the surgical approach to take the ilioinguinal incision, cut the skin, muscle, to find the back of the bladder outside the testis, free spermatic vessels and vas deferens to the desired length. Then dissected in the inguinal region of the abdominal artery veins about 5cm, according to the required length cut off the testis arteriovenous, after lavage, enlarged 10 to 20 times hands