摘要
目的 探讨医源性隐睾的病因、病理损害、预防和治疗措施。方法 回顾分析27例医源性隐睾患儿，其中睾丸鞘膜积液或腹股沟斜疝术后发生20例；局部药物注射治疗睾丸鞘膜积液或腹股沟斜疝 4例；腹股沟会阴外伤行清创术3例。结果 27例均接受手术治疗。术中见精索粘连瘢痕化改变，18例睾丸存在不同程度的萎缩，其中1例睾丸完全萎缩。术后获得随访15例，睾丸均在阴囊内，但发育较健侧差。结论 不恰当的手术操作和药物注射治疗是医源性隐睾之诱因，对睾丸造成有如先天性隐睾的损害，一旦确诊，应尽早手术治疗。
Objective To investigate the causes of iatrogenic cryptorchism, precautionary measures and treatment. Methods 27 cases were reviewed. Among them, 20 cases were caused by incorrect operation of hydrocele of tunica or hernia. 4 cases were caused by the inappropriate local injection treatment. 3 cases were caused by inguinal traumatonesis. Results 26 cases received orchidopexy, 1 case received orchiectomy for overall testicular atrophy. 15 cases were followed up after operation. All testes are in the scrotum , but their growth are worse than that of nomarl testes. Conclusion Incorrect operation and inappropriate local injection treatment are factor of iatrogenic cryptorchism. The spermatic cords and testes were injured more seriously than congenital cryptorchism. Once it was diagnosed, it's important to do orchidopexy as early as possible .
出处
《重庆医科大学学报》
CAS
CSCD
2000年第4期428-429,共2页
Journal of Chongqing Medical University
