患者男,21岁,患先天性双侧高位隐睾,1986年10月11日入院。男性体态正常,营养发育均佳,仅阴囊发育不良,腹股沟部未触及睾丸。B超检查双侧睾丸位于相当麦氏点处,左侧约3.5×3.0cm~2,右侧约3.2×2.5cm~2。精液常规未见精子,分别于同月28日和11月21日先左侧后右侧在硬膜外麻醉下行隐睾探查术。作腹直肌旁切口经腹膜外进路,术中发现睾丸位置与大小和B超所测相符,形态正常,质略软,因精索血管短,虽经高位松解游离距外环仍有10cm以上。故决定行自体睾丸移植。手术在显微外科技术下用7-0尼龙线将精索血管分别与腹壁下血管行端端吻合,动脉缝合4针,静脉缝合6针,开放血管夹,见睾丸动脉有搏动、静脉血液充盈回流良好。然后将睾丸纳入阴囊作内固定。血管吻合:左侧50min,右侧45min完成。术中未作低 Male, 21 years old, suffering from congenital bilateral high cryptorchidism, admitted to hospital on October 11, 1986. Normal male body, good nutrition and development, only scrotal dysplasia, groin did not touch the testicles. B ultrasound examination at both sides of the testes is located at the equivalent of Mark’s point, the left about 3.5 × 3.0cm ~ 2, the right about 3.2 × 2.5cm ~ 2. Semen routine no sperm, respectively, in the same month on the 28th and November 21 on the left after the right in the epidural anesthesia under the exploration of cryptorchidism. The rectus abdominis incision by extraperitoneal approach, intraoperative findings of testis location and size and B measured by the match, normal morphology, soft, due to spermatic cord blood vessels short, although by the release of high free from the outer ring still 10cm or more. It is decided to line autologous testicular transplantation. Surgery under microsurgery with 7-0 nylon line spermatic cord blood vessels were respectively anastomosed with the end of the line under the abdominal wall, suture needle 4, vein suture 6 needle, open the vascular clamp, see the testis artery pulsation, venous blood filling Reflow good. Then testis into the scrotum for internal fixation. Vascular anastomosis: left 50min, right 45min to complete. No intraoperative low