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目的评价经腹股沟切口睾丸下降固定术治疗小儿隐睾症的效果。方法 2005年1月至2015年6月,116例(其中双侧隐睾13例,共129颗睾丸)患者行经腹股沟切口探查,充分松解精索下降睾丸并固定于阴囊内。结果116例患者全部一期完成手术,术中探查隐睾位于腹股沟管93颗,阴囊高位18颗,腹腔内8颗,异位睾丸10颗,合并腹股沟疝者100例。共112例(125颗睾丸)降入阴囊底部,另有4例(4颗睾丸)降入阴囊上部。术后随访6个月~10年,平均23.8个月,无睾丸坏死及回缩病例,有2例睾丸体积偏小,发育不良。结论经腹股沟切口睾丸下降固定术式治疗小儿隐睾具有成功率高,并发症少的优点。
Objective To evaluate the effect of groin incision testicular descent fixation on pediatric cryptorchidism. Methods From January 2005 to June 2015, 116 patients (including 13 patients with bilateral cryptorchidism, 129 testes) underwent inguinal incision exploration to fully release the spermatic cord and lower the testicles and fix them in the scrotum. Results A total of 116 patients underwent surgery in one phase. Cryptorchidism was observed in 93 patients with inguinal canal, 18 high scrotal, 8 intraperitoneal, 10 ectopic testes and 100 inguinal hernias. A total of 112 cases (125 testes) were dropped into the bottom of the scrotum and another 4 (4 testes) were dropped into the upper scrotum. The patients were followed up for 6 months to 10 years with an average of 23.8 months. There were no cases of testicular necrosis and retraction. There were 2 cases of testicular volume was small and dysplasia. Conclusion The treatment of cryptorchidism in pediatric with testicular descending groin incision has the advantages of high success rate and few complications.