CAJ | 학술논문

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。
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.