新医学
新醫學
신의학
NEW CHINESE MEDICINE
2013年
10期
723-725
,共3页
李培育%陈合辉%何自浪%王德娟
李培育%陳閤輝%何自浪%王德娟
리배육%진합휘%하자랑%왕덕연
睾丸横过异位%腹腔镜%诊治
睪汍橫過異位%腹腔鏡%診治
고환횡과이위%복강경%진치
Transverse testicular ectopia%Laparoscopy%Diagnosis and treatment
睾丸横过异位( TTE)是一种罕见的先天畸形,术前常难确诊。该文报告了1例通过腹腔镜探查确诊的TTE患者,其为左侧TTE合并右侧腹股沟斜疝,疝内容物为苗勒管组织,术中切除子宫并修补斜疝,在腹腔镜下游离左侧精索和输精管,把左侧睾丸下降固定于左侧阴囊。手术过程顺利,手术效果满意,术后随访5个月,患者双侧睾丸位置理想,血供良好。该例的诊治过程提示腹腔镜在TTE诊治中具有优势。
睪汍橫過異位( TTE)是一種罕見的先天畸形,術前常難確診。該文報告瞭1例通過腹腔鏡探查確診的TTE患者,其為左側TTE閤併右側腹股溝斜疝,疝內容物為苗勒管組織,術中切除子宮併脩補斜疝,在腹腔鏡下遊離左側精索和輸精管,把左側睪汍下降固定于左側陰囊。手術過程順利,手術效果滿意,術後隨訪5箇月,患者雙側睪汍位置理想,血供良好。該例的診治過程提示腹腔鏡在TTE診治中具有優勢。
고환횡과이위( TTE)시일충한견적선천기형,술전상난학진。해문보고료1례통과복강경탐사학진적TTE환자,기위좌측TTE합병우측복고구사산,산내용물위묘륵관조직,술중절제자궁병수보사산,재복강경하유리좌측정색화수정관,파좌측고환하강고정우좌측음낭。수술과정순리,수술효과만의,술후수방5개월,환자쌍측고환위치이상,혈공량호。해례적진치과정제시복강경재TTE진치중구유우세。
Transverse testicular ectopia ( TTE) is a rare congenital abnormality difficult to diagnose before operation.This article reported 1 case of TTE via laparoscopy.The case was manifested with left TTE as well as right oblique inguinal hernia including m üllerian duct structuresDuring laparoscopy , we resected müllerian duct structures and repaired the oblique inguinal hernia , dissociated left spermatic cord and deferent duct, and then fixed the ectopic left testis into left scrotum.The surgery was uneventful.The testes were appro-priately fixed with good blood supply after 5-month follow-up.The diagnosis and treatment of this case Laparos-copy has advantage in diagnosis and treatment of TTE.