异位睾丸七例报告

目的　提高异位睾丸的诊治水平。　方法　回顾总结 7例异位睾丸患者临床资料。　结果　 7例中除 2例异位睾丸已萎缩外 ,5例术前经查体和 (或 )B超检查诊断和定位。 7例异位睾丸均经腹股沟切口 ,沿精索探及 ,其中 5例行复位固定术 ,2例行萎缩睾丸切除术 ,7例随访 2个月～ 8年 ,患者发育均正常 ,5例复位睾丸无移位、萎缩及恶变。　结论　异位睾丸的诊断主要依靠体检和B超 ,无论定位诊断明确与否 ,均应沿腹股沟管、精索径路行手术探查

Ectopic testes (report of 7 cases)

Objective To study the diagnosis and treatment of ectopic testes. Methods 7 cases of ectopic testes were reviewed and studied. Results 5 cases of ectopic testes were diagnosed and located by physical examination and/or type B ultrasonography before operations whereas the ectopic testes was atrophic in the other two.All the ectopic testes were found successfully during surgical exploration.Orchidopexy was performed for 5 patients,and orchiectomy for the other 2 because of marked atrophy.Postoperative follow up has been 2 months to 8 years.All the patients have normal growth.In the 5 cases with reposited testes no displacement,atrophy or malignant change has been noted. Conclusions The diagnosis of ectopic testes should be mainly depended on physical examination and type B ultrasonography.Surgical exploration should be carried out through the inguinal canal and via the pathway of spermatic cord.