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目的:探讨小儿医源性睾丸下降不全的病因、治疗特点和防治措施。方法:回顾分析本院收治的25例医源性睾丸下降不全的患儿,其中腹股沟斜疝术后17例,鞘膜积液术后6例,腹股沟区局部药物注射治疗后2例。结果:所有病例均行再次睾丸下降固定术。术中见精索粘连严重,瘢痕化并短缩,其中20例存在不同程度的睾丸萎缩,经充分游离后25例均将睾丸下降固定于阴囊内。术后随访16例,睾丸均在阴囊内,未再萎缩。结论:不恰当的腹股沟区操作是医源性睾丸下降不全的原因,一旦发生应尽早行手术治疗。手术要点是将睾丸自正常组织向瘢痕处推进,注意保护睾丸血供,充分游离腹膜后精索长度。
Objective: To investigate the etiology, treatment characteristics and prevention and treatment of iatrogenic testicular descent in children. Methods: A retrospective analysis of 25 cases of iatrogenic testicular descent in our hospital was retrospectively analyzed. Among them, 17 cases were treated with inguinal hernia, 6 cases were treated with hydrocele and 2 cases were treated with local drug in inguinal region. Results: All cases underwent re-testicular descending fixation. See intraoperative spermatic cord adhesion serious, scarring and shortening, of which 20 cases of varying degrees of testicular atrophy after 25 cases of free testis were fixed in the scrotum. All the patients were followed up for 16 cases. The testes were in the scrotum and did not atrophy. CONCLUSIONS: Inappropriate inguinal area manipulation is the cause of iatrogenic testicular descent, and surgery should be performed as soon as possible. The main point of surgery is to push the testes from the normal tissue to the scars, pay attention to protect the testes blood supply, fully free retroperitoneal spermatic cord length.