CAJ | 학술논문

目的探讨腹腔镜在未触及睾丸的隐睾诊治中的作用.方法对38例未触及睾丸的隐睾患儿行腹腔镜探查(46个睾丸)及手术.结果经腹腔镜、腹股沟探查及术后病理证实睾丸缺如2个,腹股沟型高位隐睾34个,睾丸位于腹腔内10个.除睾丸缺如者外,行微型腹腔镜辅助一期睾丸下降固定术41个睾丸,Fowler-Stephens (F-S)分期睾丸固定术3个睾丸；术后随访患侧睾丸萎缩2个,包括行腹腔镜下期睾丸固定术1个睾丸,F-S分期固定术1个睾丸；睾丸回缩1个,为腹腔镜下一期睾丸下降固定术者.结论对于腹股沟未能查到睾丸的小儿隐睾症应行腹腔镜检查,该方法定位准确,且多数患儿能行一期下降固定,腹腔内较高位者需分期手术,总体治疗效果满意.
목적 탐토복강경재미촉급고환적은고진치중적작용.방법 대38례미촉급고환적은고환인행복강경탐사(46개고환)급수술.결과 경복강경、복고구탐사급술후병리증실고환결여2개,복고구형고위은고34개,고환위우복강내10개.제고환결여자외,행미형복강경보조일기고환하강고정술41개고환,Fowler-Stephens (F-S)분기고환고정술3개고환；술후수방환측고환위축2개,포괄행복강경하기고환고정술1개고환,F-S분기고정술1개고환；고환회축1개,위복강경하일기고환하강고정술자.결론 대우복고구미능사도고환적소인은고증응행복강경검사,해방법정위준학,차다수환인능행일기하강고정,복강내교고위자수분기수술,총체치료효과만의.
Objective To explore the application of mini-laparoscopy in the diagnosis and management of nonpalpable undescended testis in children.Methods 38 cases of impalpabal testes(46 testicular) had been operated by mini-laparoscopy in children with cryptorchidism.Results 38 children with nonpalpable undescended testis (46 testicular) had been operated by mini-laparoscope.Results After laparoscopic exploration,inguinal probe and postoperative pathology,it had been confirmed that 2 testicular were absent,34 testicular were found in high inguinal location,10 testicular were located in intraperitoneal cavity.In addition to the absent testicular,the rest had been performed with mini-laparoscope:one period descent fixation 41 testes,Fowler-Stephens (F-S) installment orchiopexy three testes.Follow-up with side testicular atrophy 2,including one period orchiopexy a testis,F-S installment fixation a testicular; Testicular rebound 1,who had been operated with one phase of testicular descent fixtion.Conclusion For inguinal failed to find the testicular,children with cryptorchidism should be done by laparoscopy because of its positioning accuracy,and most children can do a period drop fixed,but for those really intraperitoneal more exalted person,stage surgery should be needed.Its overall treatment effect is satisfactory and is worth popularizing.