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目的探讨隐睾再手术的原因。方法回顾性总结河北省唐县人民医院收治的29例隐睾再手术的临床资料,因腹股沟斜疝行疝囊高位结扎术致医源性隐睾5例,因腹股沟斜疝行局部注射治疗致医源性隐睾4例,因精索过短准备行二期睾丸引降固定6例,隐睾牵引固定术后睾丸回缩4例,感染2例,睾丸萎缩3例,并发睾丸肿瘤5例。结果 17例睾丸降致正常阴囊位置,2例出现睾丸萎缩又行睾丸切除。5例睾丸切除者切口一期愈合,5例睾丸根治性切除者1 a后复发1例。结论规范腹股沟斜疝的治疗方法,避免医源性隐睾的发生;隐睾手术应在2岁内完成,术后要加强随访。尽量避免行二期睾丸引降固定手术。
Objective To explore the reasons for the reoperation of cryptorchidism. Methods The clinical data of 29 cases of cryptorchidism treated in Tangxian People ’s Hospital of Hebei Province were retrospectively reviewed. Five cases of ipsilateral cryptorchidism caused by high ligation of hernia sac in inguinal hernia were treated by local injection of inguinal hernia Iatrogenic cryptorchidism in 4 cases, because the spermatic cord is too short for the preparation of two testicular drop-fixed 6 cases of cryptorchidism after traction and fixation of testicular retraction in 4 cases, 2 cases of infection, testicular atrophy in 3 cases, complicated with testicular tumors in 5 cases . Results 17 cases of testicular normal scrotum position, 2 cases of testicular atrophy and orchidectomy. 5 cases of orchidectomy incision healing, 5 cases of testicular radical resection 1 a recurrence in 1 case. Conclusion The treatment of inguinal hernia can be avoided and the occurrence of iatrogenic cryptorchidism should be avoided. Cryptorchidism should be completed within 2 years and postoperative follow-up should be strengthened. Try to avoid line two testicular drop fixed surgery.