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目的探讨小儿高位隐睾和低位隐睾的手术方式及疗效。方法回顾性研究2014年6月至2016年6月我院收治的72例隐睾患儿,年龄为1岁6个月~2岁6个月,平均年龄为2岁1个月。72例患儿中,双侧隐睾7例,单侧隐睾65例(其中右侧隐睾40例,左侧隐睾25例)。根据睾丸位置高低,选择经阴囊睾丸下降固定术或者腹腔镜下睾丸下降固定术。结果 72例(79侧)患儿中,手术成功率为96%,患儿术后随访1年,睾丸血运均好转,无萎缩。结论根据隐睾位置的不同,采取经阴囊睾丸下降固定或腹腔镜睾丸下降固定治疗,是目前治疗小儿隐睾的主要手术方式,有很好的应用前景。
Objective To investigate the operative methods and efficacy of high cryptorchidism and cryptorchidism in children. Methods Retrospective study of 72 cases of cryptorchidism admitted to our hospital from June 2014 to June 2016, aged from 1 year and 6 months to 2 years and 6 months with an average age of 2 years and 1 month. In 72 cases, there were 7 cases of bilateral cryptorchidism and 65 cases of unilateral cryptorchidism (including 40 cases of right cryptorchidism and 25 cases of left cryptorchidism). According to the level of testicular position, select the testicular descending scrotal fixation or laparoscopic descending testicular fixation. Results Among the 72 cases (79 sides), the success rate of operation was 96%. The follow-up of 1 year after operation showed that the testicular blood supply was all improved and there was no atrophy. Conclusion According to the different location of cryptorchidism, the deciduas of the scrotum or the fixed descending laparoscopic treatment of testicular descent is the main surgical treatment of children with cryptorchidism, and has a good prospect.