Perioperative surgical findings in congenital and acquired undescended testis
Perioperative surgical findings in congenital and acquired undescended testis
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DOI：
10.1016/j.jpedsurg.2010.02.121
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发表时间：
2010-09-01
影响因子：
2.4
通讯作者：
Meijer, Robert W.
中科院分区：
文献类型：
--
作者：
Vries, Annebeth Meij-de;Hack, Wilfried W. M.;Meijer, Robert W.
目的：前瞻性评估先天性和后天性隐睾（UDT）围手术期手术表现。方法：我们纳入了2006年1月至2009年8月期间在我院行睾丸切除术的所有先天性或获得性UDT男孩。围手术期，我们记录了睾丸的位置和体积，管带的插入，阴道突的通畅，以及获得的位置。结果：我们纳入了69名男孩（年龄0.9-14.6岁），76名先天性UDT， 28名男孩（年龄2.2-18.5岁），30名获得性UDT。先天性组有55例（72%）睾丸位于管内位置，而获得性UDT组有11例（37%;P < 0.001）。先天性UDT组13例（17%）、获得性UDT组12例（40%）的管带止点位于阴囊底部（P < 0.05）。先天性UDT组63例（83%）阴道突开放，获得性UDT组9例（30%）阴道突开放（P < 0.001）。结论：与先天性UDT相比，后天性UDT多位于腹股沟浅囊内，小管插入正常，阴道突闭合。(C) 2010爱思唯尔公司版权所有。
Purpose: Perioperative surgical findings in congenital and acquired undescended testis (UDT) were prospectively assessed.Methods: We included all boys with congenital or acquired UDT who underwent orchidopexy at our hospital between January 2006 and August 2009. Perioperatively, we scored the position and volume of the testis, the insertion of the gubernaculum, the patency of the processus vaginalis, and the obtained position.Results: We included 69 boys (aged 0.9-14.6 years) with 76 congenital UDT and 28 boys (aged 2.2-18.5 years) with 30 acquired UDT. In the congenital group, the testis was in intracanalicular position in 55 cases (72%), whereas in the acquired UDT group, this was in 11 cases (37%; P < .001). The insertion of the gubernaculum was at the bottom of the scrotum in 13 cases (17%) of the congenital UDT group and in 12 cases (40%) of the acquired UDT group (P < .05). The processus vaginalis was open in 63 cases (83%) of the congenital and in 9 cases (30%) of the acquired UDT group (P < .001).Conclusion: Compared to congenital UDT, acquired UDT are more likely to be situated in the superficial inguinal pouch, to have a normal insertion of the gubernaculums, and to have a closed processus vaginalis. (C) 2010 Elsevier Inc. All rights reserved.