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目的通过评价回缩性睾丸患睾临床转归时间为临床治疗回缩性睾丸提供参考。方法回顾性分析了本院40例2004年3月至2009年9月被诊断为回缩睾丸的患儿,所有的患儿在随访时评价睾丸收缩性、位置、睾丸体积,并根据随访结果分为回缩组、正常组、固定组。结果 40个患儿,21例单侧回缩睾丸(52.5%),19双侧回缩睾丸(47.5%)。他们的平均年龄为(3±2.7)岁,评价随访时间为(4.1±1.6)年。59例回缩睾丸,27例(45.7%)成功降入阴囊,23例(39.0%)保持回缩,9例患者(15.3%)为睾丸未降或睾丸体积变小行睾丸固定术。40例患者中平均随访(4.4±1.7)年。正常组平均随访时间为(4.1±1.3)年,回缩组平均随访时间为(5.2±1.7)年,固定组平均随访时间为(3.7±1.6)年。正常组平均诊断年龄为(4.3±3.2)年,回缩组平均诊断年龄为(2.3±1.6)年,固定组平均诊断年龄(1.3±0.8)年。固定组与正常组相比较,固定组平均诊断年龄小于正常组的平均诊断年龄(P<0.05)。结论回缩性睾丸有需行外科睾丸固定术的干预的风险,且年龄越小被诊断为回缩性睾丸的患者有需行外科睾丸固定术干预的风险越高。
Objective To evaluate the clinical outcome of patients with contractile testicular testis for the clinical treatment of contractile testis provide a reference. Methods A retrospective analysis of 40 cases of our hospital from March 2004 to September 2009 was diagnosed as contracting testes in children, all children were evaluated at follow-up testicular contractility, location, testicular volume, and according to follow-up results For the retraction group, normal group, fixed group. Results 40 children, 21 cases of unilateral testicular contraction (52.5%), 19 bilateral contralateral testis (47.5%). Their mean age was (3 ± 2.7) years and their follow-up time was (4.1 ± 1.6) years. Fifty-nine cases of testis retreated, 27 cases (45.7%) were successfully scrunched into the scrotum, 23 cases (39.0%) were kept retracted, 9 cases (15.3%) were testis or testicular fixation. The average follow-up of 40 patients (4.4 ± 1.7 years). The mean follow-up time was (4.1 ± 1.3) years in the normal group, 5.2 ± 1.7 years in the deflated group, and (3.7 ± 1.6) years in the fixed group. The average age of diagnosis was (4.3 ± 3.2) years in the normal group, 2.3 ± 1.6 years in the contraction group, and 1.3 ± 0.8 years in the fixed group. Compared with the normal group, the mean age at diagnosis in the fixed group was smaller than that in the normal group (P <0.05). CONCLUSION: Retrospective testis is at risk of surgical sphincter intervention and patients at a younger age who are diagnosed with contractile testicles have a higher risk of surgical sphincter intervention.