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为了避免临床对复杂型隐睾睾丸切除和睾丸因缺血引起萎缩,我们采用了精索静脉与腹壁下动脉吻合改变血流方式治疗7例小儿难牵置性隐睾。术后进行T-RIA测定和睾丸形态学观察。结果发现6例睾丸组织增大,质软弹性好,1例睾丸组织质硬。随诊1年来未发现睾丸萎缩,T-RIA测定均值达85%。说明静动脉血流改变后对睾丸供血和营养支持起到一定改善作用,解决了精索短常规手术睾丸不能进入或不能完全进入阴囊的问题。手术操作简单,安全可靠,术后无不良影响。
In order to avoid the clinical complex orchitis testicular excision and testicular ischemia caused by atrophy, we used the varicocele and abdominal artery anastomosis to change the blood flow treatment of 7 cases of children with implacable cryptorchidism. Postoperative T-RIA and testicular morphology were observed. The results showed that six cases of testicular tissue increased soft elastic good, 1 case of testicular tissue hard. Testicular atrophy was not found in 1 year after follow-up, and the mean of T-RIA was 85%. Explain the changes of the blood flow of the venous blood on the testis and nutritional support to play a certain role in improving the spermatic cord to solve short-term surgical testicular can not enter or can not fully enter the scrotum problem. Surgical operation is simple, safe and reliable, no adverse effects after surgery.