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目的探讨隐睾症的治疗方法。方法回顾性分析本院近10余年收治的103例资料完整的隐睾症患儿的临床资料及治疗方法 ,按治疗方法不同将患儿分为内分泌治疗组和手术治疗组,并观察其疗效。结果 41例患儿接受人绒毛膜促性腺激素治疗。其中15例治疗1个疗程后睾丸降至阴囊内,有效率为36.6%;12例接受第2个疗程治疗,仅2例有效;余14例治疗无效。86例接受手术治疗,81例一次完成手术,一期成功率为94.2%;余5例分期完成。30例随访0.5～2.0a,发现睾丸萎缩3例,未发现睾丸恶变及明显的人绒毛膜促性腺激素不良反应。结论隐睾患儿一旦确诊,应根据情况选择等待疗法、内分泌治疗或手术治疗,等待疗法或内分泌治疗效果不佳时,应尽早选择手术治疗,手术治疗的最佳时机为1岁。
Objective To investigate the treatment of cryptorchidism. Methods Retrospective analysis of 103 cases of clinical data and treatment of cryptorchidism in our hospital for more than 10 years were retrospectively analyzed. According to the different treatment methods, the children were divided into endocrine therapy group and surgical treatment group, and the curative effect was observed. Results 41 children received human chorionic gonadotropin therapy. Among them, 15 cases were treated with 1 course of testicular descent into the scrotum, the effective rate was 36.6%; 12 cases received the second course of treatment, only 2 cases were effective; more than 14 cases were ineffective. Eighty-six patients underwent surgery, and 81 patients completed one operation at a time. The success rate of the first phase was 94.2%. The remaining five cases were completed by staging. Thirty patients were followed up for 0.5-2.0 years. Three cases of testicular atrophy were found. No malignant testicular and obvious human chorionic gonadotropin adverse reactions were found. Conclusion Once diagnosed, children with cryptorchidism should choose wait for therapy, endocrine therapy or surgery according to the situation. When the therapy or endocrine therapy is not effective, they should choose surgery as soon as possible. The best time for surgical treatment is 1 year old.