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一、病例简介:患儿,3岁,因出生后左侧阴囊内睾丸缺如入院。查体:在左侧阴囊内,腹股沟及邻近部位均不能扪及睾丸。彩超在近内环口处探及类睾丸样回声团。术前作血常规,凝血功能,肝、肾功和离子、心电图、胸片,除外手术禁忌症。经术晨禁食水,术前排空膀胱等手术常规准备,于2004年10月28日行微型腹腔镜探查术。全麻后,患者取头低抑卧位,脐下皮肤作5 mm小切口进气腹针造气腹,置入3 mm Trocar进3 mm直观察镜。在患侧内环口后内侧找到睾丸,大小约15 mm×10
First, the case description: children, 3 years old, because after birth, left scrotal testicular absence of admission. Physical examination: in the left scrotum, groin and adjacent parts can not palpable testicles. Choi ultrasound probe near the inner ring and testicular-like echo group. Preoperative blood, coagulation, liver, kidney function and ions, ECG, chest radiograph, except for surgery contraindications. The morning fasting water, preoperative bladder emptying surgery routine preparation, in October 28, 2004 underwent mini laparoscopic exploration. After general anesthesia, the patient took the first low supine position, under the umbilical skin for small incision 5 mm gas insufflation into the abdominal, into the 3 mm Trocar into the 3 mm visual microscope. In the ipsilateral medial ring found after testicular, the size of about 15 mm × 10