腹横纹切口保留睾丸引带阴囊皮下睾丸固定术治疗隐睾症的研究

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。

Scrotal subcutaneous orchiopexy trough abdominal transverse cleavage line incision with gubernaculum testis reserved in treatment of cryptorchism

To improve the therapeutic efficacy of crytorchidism, 110 undescended testes in 96 cases were treated with fferotal subcutaneous orchiopexy through abdominal transverse cleavage line incision with gubermaculun testis reserved,and 62 undescended testes in 50 cases as control treated with standar scrotal subcutaneous orchiopexy. It was found,on the testis size, 94 (87. 0%)were excellent, 9(8. 3%) good, and 5 (4.6%) poor in the study group; whereas, 41 (66.1%)excellent, 7(l1. 3%) good, 14 (22.6%) poor in control;On testis location, 93 (86.1%) excellent, 9 (8.1%) good, 6(5.6%) poor in study group, and 41 (66.1%) excellent, 7 (l1.3%) good, 14 (22.6%) poor in control. A significantly difference was found between the study and control group on the testis size,hardness,and location. We believed that Scrotal subcutaneous orchiopexy trough abdominal transverse cleavage line incision with gubermaculun testis reserved was a better approach with limited damage, exellent appearance, and less complications of testis atrophy and retraction.