篇名 | Use of Laparoscopy in Nonpalpable Testis |
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卷期 | 3:4 |
並列篇名 | 腹腔鏡於不可觸知的隱睪症之應用 |
作者 | 余燦榮 |
頁次 | 916-920 |
關鍵字 | laparoscopy 、 nonpalpable testis 、 vanishing tests 、 intra-abdominal testis 、 staged orchidopexy 、 TSCI |
出刊日期 | 199212 |
從1990年八月至1992年五月共有十五位病人接受腹腔鏡術,病人平均年齡六歲,所有病人都能成功地完成腹腔鏡檢查。其中四位病人診斷為患側無睪丸症,無需接受進一步手術。六位病人可見正常之輸精管及精索血管進入內複股溝環,仍接受複股溝探查手術,其中四位病人位於患側仍未發現睪丸,另兩位病人則發現發育不全之睪丸。剩下五位病人之七個腹腔內之睪丸則各依臨床疾病之異而不作不同之治療。腹腔鏡對於不可觸知的隱睪是一個有價值且值得採取的手術。
From August 1990 to May 1992, 15patients underwent successful aparoscopic management for 17 nonpalpable testes under general anesthesia , Six patients with normal anatomy in internal inguinal ring were proved to be either an extra-abdominal vanishing testis or a hypoplastic or atretivc testis. Four patients with blind end of vas and vessels proximal to the internal inquinal ring were planned for orchiectomy or simple or staged orchidopexy depending on clinical situations. Laparoscopy of fers the accurate testicular localization and deternines the next step operation. Also it avoids unnecessary extensive exploration.