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目的 :探讨腹腔镜在术前触及不到睾丸的隐睾症中诊断和治疗的价值。 方法 :对 8例 12侧术前触不到睾丸的隐睾病人行腹腔镜检查及相应的治疗。 结果 :8例 12侧隐睾均于腹腔镜下明确定位 ,其中腹腔内寻及睾丸 7例 (87 5 % ) ,腹股沟内环口隐睾 1例 (12 5 % ) ,行腹腔镜下隐睾切除 4例 ,睾丸下降固定术 4例。随访 0 5～ 8年 ,疗效满意。 结论 :本方法安全、准确 ,在体表触及不到的隐睾的诊治中有重要应用价值。
Objective: To investigate the value of laparoscopy in diagnosis and treatment of cryptorchidism which can not reach the testis before operation. Methods: Laparoscopy and corresponding treatment were performed in 8 cases of cryptorchid patients who could not touch the testes before surgery. Results: All the 12 cases of cryptorchidism were clearly located in laparoscopy. Among them, 7 cases (87.5%) were found in the abdominal cavity and 1 case (125%) in the inguinal cavity cryptorchidism. Laparoscopic cryptorchidism Excision in 4 cases, 4 cases of testicular descent fixation. Follow-up 0 5 ~ 8 years, with satisfactory results. Conclusion: This method is safe, accurate and has important application value in the diagnosis and treatment of cryptorchidism which the body surface can not touch.