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隐睾症的手术方式很多,但术后均有较高的睾丸萎缩及回缩率。本文分析了小儿隐睾术后主要并发症(睾丸回缩及萎缩)的发生原因,总结出改进措施:采用腹横纹切口,术后刀口瘢痕不明显,符合患者的心理要求;术中保留睾丸引带,增加了睾丸血液供应;精索较短者,切断腹壁下动、静脉,向后面解剖可使弧形走向的精索呈直线形行走,明显延长了精索长度,使睾丸无张力降入阴囊内,减少了睾丸回缩及萎缩的发生率,明显提高了疗效,适用于低位及部分高位隐睾,能一次完成手术。
Cryptorchidism surgery a lot, but after surgery have a higher testicular atrophy and retraction rate. This article analyzes the main complications of pediatric cryptorchidism (testicular contraction and atrophy) causes, summed up the improvement measures: the use of abdominal stripes incision, postoperative scar incision is not obvious, in line with the psychological needs of patients; intraoperative retention of testicles Tape, increasing the testicular blood supply; spermatic cord shorter, cut off the abdominal wall, veins, to the back of the anatomy can arc-shaped spermatic straight walking, significantly lengthened spermatic cord length, so that testicular tension-free Into the scrotum, reducing the incidence of testicular retraction and atrophy, significantly improve the efficacy for lower and some high cryptorchidism, can be a complete operation.