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目的探讨腹腔镜高位隐睾下降固定术的指征、术式选择和疗效。方法高位隐睾患者7例(双侧腹腔型隐睾5例,单侧腹股沟管内环处隐睾1例,双侧睾丸异位1例),采用腹腔镜下松解精索血管与输精管,将睾丸下降固定于阴囊内。6例腹腔镜手术成功,1例术中转开放手术。结果7例共13侧睾丸,9侧睾丸下降固定于阴囊内,1侧睾丸下降固定于腹股沟管皮下环下方,1侧睾丸体积过小,予以切除。2侧异位睾丸术中转开放手术下降固定于阴囊内。术后随访4～16个月,下降固定的睾丸无萎缩。结论腹腔镜高位隐睾下降固定术具有观察全面、创伤小、可同时处理两侧睾丸等特点,是一种安全、有效的治疗方法。
Objective To investigate the indications, surgical options and curative effects of laparoscopic high cryptorchidism descending fixation. Methods 7 cases of high cryptorchidism patients (bilateral abdominal cryptorchidism in 5 cases, unilateral inguinal canal cryptorchidism in 1 case, bilateral testis heterotopic 1 case), laparoscopic spermatic cord blood vessels and vas deferens, the testis Decline fixed in the scrotum. 6 cases of laparoscopic surgery was successful, 1 case of surgery to open surgery. Results A total of 13 testicles were located in 7 cases. The testis in 9 sides descended and fixed in the scrotum. The testis in 1 side was descended and fixed below the subcutaneous ring of inguinal canal. The testicular volume in 1 side was too small to be resected. 2 ectopic testicular surgery transfer open surgery fixed in the scrotum. All the patients were followed up for 4 to 16 months, with no decline in fixed testis. Conclusions Laparoscopic high cryptorchidism descending fixation has the characteristics of comprehensive observation, small trauma and simultaneous treatment of testis on both sides, which is a safe and effective treatment.