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我科于1986年12月～1987年12月为3例高位隐睾进行了自体移植,并获得成功,现报道如下。手术方法连续硬膜外麻醉。先探查患侧腹股沟管,切开腹壁时应避免损伤腹壁浅动、静脉,如腹股沟未探及睾丸,则将切口向上延伸,腹膜内推,在膀胱外后方寻找输精管,再沿输精管寻找睾丸,并观察睾丸的形态、大小、精索血管长度及输精管动脉供血情况,如决定行睾丸自体移植则游离出腹壁下动、静脉,并切断,远端结扎,近端用小血管夹夹住,用肝素生理盐水冲
Our department in December 1986 ~ December 1987 for 3 cases of high cryptorchidism autologous transplantation and was successful, are reported below. Surgical procedures Continuous epidural anesthesia. First explore the ipsilateral inguinal canal, abdominal wall should be cut open to avoid damage to the superficial wall, veins, such as the groin did not explore and the testis, the incision extended upward, intraperitoneal push in the back of the bladder look for the vas deferens, and then looking for the testis along the vas deferens, And observe the testicular morphology, size, spermatic cord length and vas deferens arterial blood supply, such as the decision line of autologous transplantation of testis is free from the abdominal wall, vein, and cut off, distal ligation, the proximal clamp with a small vascular clamp, with Heparin normal saline flush