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目的探索腹腔镜技术在腹腔内隐睾中的应用。方法2005年~2007年7月,我院收治腹腔内隐睾24例,平均年龄3.37岁(1~15岁)。其中左侧9例,右侧7例,双侧8例,共32只睾丸。根据睾丸位置高低,在腹腔镜辅助下行精索松解、睾丸固定术。结果24例(32只睾丸)均于腹腔镜下确定睾丸位置,其中22例(28只)为低位腹腔内隐睾,占87.5%,2例(4只)为高位腹腔内隐睾,占12.5%。对28只低位隐睾、1只高位隐睾行精索松解一期睾丸固定术,占90.62%;对2只高位隐睾行精索松解分期睾丸固定术;1只高位隐睾行分期Fowler-Stephens手术。全部病例术后均顺利康复,随访1个月~2年,睾丸血供良好,无睾丸萎缩、回缩等。结论腹腔镜辅助精索松解、睾丸固定术是治疗腹腔内隐睾,特别是低位腹腔内隐睾的有效方法。
Objective To explore the application of laparoscopy in intraperitoneal cryptorchidism. Methods From 2005 to July 2007, 24 cases of cryptorchidism in our hospital were treated with mean age of 3.37 years (range 1-15 years). There were 9 cases on the left side, 7 cases on the right side and 8 cases on both sides, a total of 32 testes. According to the level of testicular position, assisted in the laparoscopic descending spermaticolysis, testicular fixation. Results Twenty-four cases (32 testes) were confirmed laparoscopic testicular position, of which 22 cases (28) were low cryptorchidism, accounting for 87.5%, 2 cases (4) were high intraperitoneal cryptorchidism, accounting for 12.5 %. Of 28 low cryptorchidism, a high cryptorchidism line of spermatic cord release a testicular fixation, accounting for 90.62%; 2 high cryptorchidism spermatic cable release staging testicular fixation; a high cryptorchidism staging Fowler-Stephens surgery. All cases were successfully recovered after a follow-up of 1 month to 2 years, testicular blood supply is good, no testicular atrophy, retraction and so on. Conclusion Laparoscopic assisted spermatic cord lysis and testicular fixation are effective methods for the treatment of cryptorchidism in the abdominal cavity, especially in the lower abdominal cavity.