小儿隐睾89例诊治临床分析

目的:探讨小儿隐睾的合理诊治方法,以减少并发症的发生。方法:89例小儿隐睾症,对其中16例<2岁和3例B超发现睾丸体积过小的3例患儿进行人绒毛膜促性腺激素(HCG)治疗,每次1500U肌肉注射,每周2次,总剂量15000U。对经HCG治疗失败以及年龄>2岁的患儿采用手术治疗。结果:9例患儿HCG治疗1个疗程后睾丸降至阴囊;7例经HCG治疗睾丸未降至阴囊,但睾丸比注射前增大。经手术治疗的患儿中76例1次手术完成,3例分2次手术,睾丸缺如1例;3例睾丸过小的患者尽管睾丸未降到阴囊,但是睾丸比注射前明显增大;本组中未发现癌变,无睾丸坏死及睾丸切除,无睾丸回缩等并发症。结论:尽早采取合理的治疗方法是有效治疗小儿隐睾、减少并发症的关键。

THE CLINICAL DIAGNOSTIC AND THERAPEUTIC ANALYSIS OF 89 CASES OF CHILDREN''''S CRYPTORCHIDISM

Objective: To investigate rational diagnostic and therapeutic method of children's cryptorchidism so as to reduce complications. Methods:16 cases of cryptorchidism younger than 2 years old and 3 children whose testes were too small were treated by HCG. They were injected1 500 U twice a week and total dose were 15 000 U.Both failed cases by HCG and those that were over 2 years old were operated. Results: 9 cases descended their testes to scrotum after treatment of HCG;7 cases did not descend their testes to scrotum, but the their testes became bigger. 76 cases were operated once, 3 cases were operated twice, 1 case had no testis. 3 cases had too small testes became bigger after treatment by HCG. There were no testis tumor, testis putrescence and testis withdrawing in this group. Conclusion: Earlier rational treatment is the key to treat effectively children's cryptorchidism and reduce complications.