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目的探讨腹腔镜技术诊断和治疗未触及隐睾的疗效。方法2004年2月～2007年2月利用腹腔镜技术对39例44侧未触及隐睾进行诊断和治疗。结果39例均得到明确诊断。38侧腹腔内隐睾中31侧行一期睾丸固定术,7侧行分期Fowler-Stephesn睾丸固定;6侧为睾丸缺如。39例随访0.5～1.0年,1侧分期Fowler-Stephesn睾丸萎缩。结论腹腔镜对小儿未触及隐睾的诊断和治疗具有创伤小、恢复快、治疗效果好等优点,可作为未触及隐睾患儿的首选诊治方法。如条件许可,一期睾丸固定术也能取得满意的临床疗效。
Objective To investigate the efficacy of laparoscopy in the diagnosis and treatment of cryptorchidism without touching. Methods From February 2004 to February 2007, 39 patients with 44 sides of untreated cryptorchidism were diagnosed and treated by laparoscopy. Results 39 cases were diagnosed. 38 side of the lateral abdominal cryptorchidism in 31 cases of a line of testicular fixation, 7 staging Fowler-Stephesn testicular fixation; 6 side of the absence of testicular. 39 cases were followed up from 0.5 to 1.0 years, 1 staged Fowler-Stephesn testicular atrophy. Conclusions Laparoscopy has the advantages of less trauma, faster recovery and better curative effect in the diagnosis and treatment of children without cryptorchidism. It can be used as the first choice of diagnosis and treatment in children with cryptorchidism. If conditions permit, a testicular fixation can achieve satisfactory clinical efficacy.