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健侧睾丸直径增长在小儿未触及隐睾中的临床意义 被引量:3

Clinical significance of contralaterai testicular diameter in non-palpable cryptorchidism in children
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摘要 目的探讨健侧睾丸直径增长在小儿未触及隐睾中的临床意义。方法回顾性分析2008年1月至2011年12月收治的82例单侧未触及隐睾患儿的临床资料。按术前超声测量健侧睾丸长径,大于1.7CiTI的40例为观察组,小于1.7cm的42例为对照组;使用腹腔镜探查患侧睾丸发育情况。结果观察组发现对侧睾丸萎缩37例,睾丸缺如1例,睾丸未萎缩2例;对照组睾丸萎缩10例,未萎缩32例。观察组中睾丸萎缩率为92.5%(37/40),对照组中睾丸萎缩率为23.8%(10/42),两组比较,差异有统计学意义(P〈O.05)。结论单隐睾的婴幼儿健侧睾丸增大,以长径大于1.7cm能简单的判断患侧未触及睾丸已萎缩或缺如。睾丸长径是否大于1.7cm可以作为1~2岁婴幼儿判断睾丸是否增大的简单量化值。 Objective To explore the clinical significance of contralateral testicular length in non-palpable cryptorchidisnx Methods Retrospective analyses were performed for 82 children with unilateral non-palpable cryptorchidism during January 2008 and December 2011. Their age range was 1-2 years. The testicular diameter was measured by conventional; ultrasound. They were divided into the study (diameter 〉1.7 cm, n= 40) and control (〈1.7 cm, n= 42) groups. Laparoscopy was used to observe the development status of affected testis. Results In the study group, there were contralateral testicular atrophy (n = 37), missing (n = 1) and non-atrophy (n = 2); in the control group, atrophy (n = 10) and non-atrophy (n = 32). The intra-group comparison revealed statistical difference in atrophic rate (92. 5% vs 23. 8%, P〈 0. 05). Conclusions For infants with single cryptorchidism, contralateral testis with a diameter greater than 〉1. 7 cm offers a simple guide whether or not there is testicular atrophy or absence.
出处 《中华小儿外科杂志》 CSCD 北大核心 2014年第3期179-181,共3页 Chinese Journal of Pediatric Surgery
关键词 隐睾症 腹腔镜检查 儿童 Cryptorchidism Laparoscopy Child
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参考文献18

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