CAJ | 학술논문

目的通过分析生育率及精液来评价单双侧隐睾患者睾丸固定术后远期生育力.方法随访1981年10月至1997年11月期间做过隐睾手术的患者342例,分析已婚者的生育及不育治疗情况和未婚者的精液质量,来评价患者生育力.结果共有49例患者获得完整资料,随访率为14.3％,其中单侧33例,双侧16例.已婚者中单侧隐睾患者生育率为92.9％,双侧为37.5％,生育者怀孕时间(从计划怀孕至成功怀孕的时间)单侧隐睾平均为3个月,双侧为6.3个月；不育者中有4例经药物治疗后精液正常,3例已经生育.未婚者中单侧隐睾患者的精液正常率为84.2％,双侧为25.0％.双侧隐睾精液异常者中腹腔内型隐睾占66.7％.结论单侧隐睾患者术后远期生育力接近正常人,而双侧隐睾生育率及精液正常者远低于单侧；双侧隐睾患者怀孕时间大于单侧；部分不育患者治疗后可以生育.双侧腹腔内型隐睾更易致精液异常.
목적 통과분석생육솔급정액래평개단쌍측은고환자고환고정술후원기생육력.방법 수방1981년10월지1997년11월기간주과은고수술적환자342례,분석이혼자적생육급불육치료정황화미혼자적정액질량,래평개환자생육력.결과 공유49례환자획득완정자료,수방솔위14.3％,기중단측33례,쌍측16례.이혼자중단측은고환자생육솔위92.9％,쌍측위37.5％,생육자부잉시간(종계화부잉지성공부잉적시간)단측은고평균위3개월,쌍측위6.3개월；불육자중유4례경약물치료후정액정상,3례이경생육.미혼자중단측은고환자적정액정상솔위84.2％,쌍측위25.0％.쌍측은고정액이상자중복강내형은고점66.7％.결론 단측은고환자술후원기생육력접근정상인,이쌍측은고생육솔급정액정상자원저우단측；쌍측은고환자부잉시간대우단측；부분불육환자치료후가이생육.쌍측복강내형은고경역치정액이상.
Objective To access the long term fertility after orchidopexy in children with unilateral or bilateral cryptorchidism through analysis of fertility rate and semen evaluation. Methods Between October 1981 and November 1997, totally 342 cases of cryptorchidism underwent orchidopexy procedure in our centre, and the follow up study was conducted. The procreation status among married patients and semen analysis for unmarried patients were targeted to investigate their fertilities. The clinical information was collected through mail, telephone and subsequent visit. Results Complete clinical information could be collected in 49 (14.3％) of all populations, in which unilateral cryptorchidism was found in 33 cases and bilateral ones in 16 cases. Among married patients the fertility rate was 92.9％ in unilateral cases, while 37.5 ％ in bilateral ones. For those patients whose wives gave birth, the mean time of planned pregnancy was 3 months in unilateral cases, and 6.3 months in bilateral ones. While for infertility patients, semen from 4 cases was already normal after drug treatment, in which 3 patients' wives already gave birth. Among unmarried populations, normal rate of semen in unilateral cryptorchidism was 84.2％ and 25％ in bilateral ones. The abdominal cryptorchid could be found in 66.7 percent of in bilateral cryptorchidism with abnormal semen. Conclusions Long term fertility in children with unilateral cryptorchidism is similar with the normal ones, while fertility rate and normal semen in bilateral ones are significantly lower than unilateral ones after surgery. Compared with the unilateral ones, the planned pregnancy time for bilateral ones are long. Part of infertility has fertility potential after drug treatment. The semen in bilateral abdominal cryptorchid is more likely to be abnormal.