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治疗隐睾的手术方法不同,效果也有差别。我院1964~1982年手术治疗隐睾145例,其中单侧106例,双侧39例。最小年龄5岁,最大57岁。手术采用Tovick’s法6例,Gros’s法95例,精索固定法13例,自体睾丸移植5例,切除睾丸17例,未找到睾丸9例。术后随访53例,Tovick’s法3例及精索固定法6例睾丸位置及大小均优;Gros’s法44例中27例分别发生睾丸萎缩、回缩或位置过高。随访已成年的5例双侧隐睾患者。腹内型2例中1例术后10年查精液,每视野1~3个精子,另例无精子;腹股沟管型3例中1例婚后生孩,另2例无精子。单侧隐睾14例,分别在术后2~8年复查,腹内型1例全为死精子;13例腹股沟管型已生育者7例。
Different methods of treatment of cryptorchidism, the effect is also different. Surgical treatment of cryptorchidism in our hospital from 1964 to 1982, 145 cases, including unilateral 106 cases, bilateral 39 cases. The youngest is 5 years old and the youngest is 57 years old. Tovick’s method was used in 6 cases, Gros’s method in 95 cases, spermatic cord fixation in 13 cases, autologous testicular transplantation in 5 cases, resection of testis in 17 cases and no testicular in 9 cases. The postoperative follow-up of 53 cases, Tovick’s method in 3 cases and spermatic cord fixation in 6 cases of testicular location and size are excellent; Gros’s Act 44 cases, 27 cases of testicular atrophy, retraction or over-position. Five adult patients with bilateral cryptorchidism were followed up. In 2 cases of intra-abdominal type, one case had semen from 10 to 10 years after operation, 1 to 3 sperm per field of vision, and another case had no sperm. In 3 cases of inguinal canal type, 1 case had childbirth after marriage and 2 cases had no sperm. Unilateral cryptorchidism in 14 cases, respectively, 2 to 8 years after the review, 1 case of intra-abdominal type were all dead spermatozoa; 13 cases of inguinal tube has 7 cases of childbirth.