CAJ | 학술논문

目的探讨经脐入路腹腔镜下对高位隐睾的Ⅰ期下降固定的方法和疗效.方法 2008年12月至2009年7月收治26例(35侧)高位隐睾患儿,年龄1.1～6.3岁,平均1.9岁,其中左隐睾12例,右隐睾5例,双侧隐睾9例,单纯经肚脐入路行腹腔镜下睾丸探查和Ⅰ期下降固定.结果探查发现6侧睾丸缺如,余29侧均在腹腔镜下行Ⅰ期睾丸下降周定,其中22例游离精索血管和输精管后将睾丸Ⅰ期下降固定,其余7侧睾丸行Ⅰ期Fowler-Stephens手术.术后随访6～13个月,平均9.6个月,下降的全部睾丸无回缩、无萎缩;脐部瘢痕隐藏于脐窝内不显露.结论高位隐睾采用单纯经肚脐入路的腹腔镜技术,完成Ⅰ期下降固定是可行的,既能达到满意的治疗效果也能符合无瘢痕的美容要求.
목적 탐토경제입로복강경하대고위은고적Ⅰ기하강고정적방법 화료효.방법 2008년12월지2009년7월수치26례(35측)고위은고환인,년령1.1～6.3세,평균1.9세,기중좌은고12례,우은고5례,쌍측은고9례,단순경두제입로행복강경하고환탐사화Ⅰ기하강고정.결과 탐사발현6측고환결여,여29측균재복강경하행Ⅰ기고환하강주정,기중22례유리정색혈관화수정관후장고환Ⅰ기하강고정,기여7측고환행Ⅰ기Fowler-Stephens수술.술후수방6～13개월,평균9.6개월,하강적전부고환무회축、무위축;제부반흔은장우제와내불현로.결론 고위은고채용단순경두제입로적복강경기술,완성Ⅰ기하강고정시가행적,기능체도만의적치료효과야능부합무반흔적미용요구.
Objective To review the clinical outcomes of the trans-umbilical laparoscopic one stage orchiopexy for high cryptorchidism. Methods Twenty-six patients with the 35 sides high cryptorchidism (HC) including 12 left side, 5 right side, and 9 bilateral sides HC underwent transumbilical laparoscopic one stage orchiopexy. These patients ageed from 1.1 to 6. 3 years old with a mean age of 1.9 years. Results Twenty nine undescendent intra abdominal testes were found. Among them, 22were performed primary orchidopexy, and the other 7 were performed one stage Fowler-Stephens orchidopexy. Unilateral absent testis were noted in 6 patients. All patients were followed up for 6～13months (average 9. 6 months). No testicular retraction or atrophy was noted. The scars were not revealable within the belly button during follow-up term. Conclusions Trans-umbilical laparoscopic exploration and orchidopexy is a nice choice for the diagnosis and treatment of the high cryptorchidism.