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为了研究治疗先天性隐睾症的最佳术式,以提高隐睾症的治疗水平,采用腹横纹切口保留睾丸引带明囊皮下睾丸固定术(研究组)治疗隐睾症96例110枚,获得随访者94例108枚,同时采用患倒下腹斜切口肉膜囊睾丸固定术(对照组)治疗隐睾症50例62枚。结果研究组睾丸大小及硬度化94枚,占87.0%,良9枚,占8.3%,差5枚,占4.6%;睾丸位置优93枚,占86.1%,良9枚,占8.3%,差6枚,占5.6%;无睾丸萎缩及回缩,外表美观。对照组睾丸大小及硬度优41枚,占66.1%,良7枚,占11.3%,差14枚,占22.6%;睾丸位置优43枚,占69.4%,良8枚,占12.9%,差11枚,占17.7%。经统计学处理,两组睾丸大小及硬度方面比较有极显著性差异(P<0.01),睾丸位置比较也有显著性差异(P<0.05)。认为腹横纹切口保留睾丸引带阴囊皮下睾丸固定术损伤小,外表美观,明显降低了睾丸萎缩及回缩等并发症,符合生理要求,疗效满意。
In order to study the best surgical treatment of cryptorchidism in order to improve the treatment of cryptorchidism, abdominal transverse incision to retain testicular tape Ming capsule subcutaneous testicular fixation (study group) treatment of cryptorchidism in 96 cases of 110 , 94 cases were followed up 108 cases, while the use of inverted abdominal incision suturing the testis (control group) treatment of cryptorchidism 50 cases 62. Results There were 94 testes in size and hardness in study group, accounting for 87.0%, 9 good, accounting for 8.3%, and 5 poor, accounting for 4.6%; testicular location was 93, accounting for 86.1% 9, accounting for 8.3%, poor 6, accounting for 5.6%; no testicular atrophy and retraction, appearance beautiful. The size and hardness of testis in control group were 41, accounting for 66.1%, good in 7, accounting for 11.3%, poor in 14, accounting for 22.6%; testicular location was excellent in 43, accounting for 69.4%, good 8 Pieces, accounting for 12.9%, poor 11, accounting for 17.7%. There was a significant difference in testicular size and hardness between the two groups (P <0.01). There was also a significant difference in testis position (P <0.05). That belly stripes incision to retain testis tape scrotum hypodermic testis injury, appearance, significantly reduce the testicular atrophy and retraction and other complications, in line with physiological requirements, the effect is satisfactory.