在3个月以下的婴儿中,我们是否可以保存由囚禁 inguinal 带引起的死的丸?
Jinfeng Hou1,2, Wei Feng1,2, Qingshuang Liu1,2
1Department of General Surgery and Neonatal Surgery, Children's Hospital of Chongqing Medical University, Liangjiang Wing, Yubei District, Chongqing, 401122, China.
Pediatric surgery international
|December 2, 2023
概括
在患有因囚禁 inguinal hernias 生死丸的婴儿中,丸的保存是可能的. 这种方法可以在不影响对侧丸的情况下预防丸缩,建议采取保守的手术策略.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 新生儿护理 新生儿护理
背景情况:
- 婴儿的内置 inguinal 可以导致丸缩.
- 这种人群中丸死的管理具有挑战性,传统的方法通常涉及瘤切除术.
研究的目的:
- 评估在3个月以下的婴儿中保存死丸的可行性和结果,这些婴儿患有囚禁 inguinal hernias.
- 为了比较丸体积,荷尔蒙水平和抗体形成,保存丸与被切除的丸 (骨架切除术) 或对照组进行比较.
主要方法:
- 在3个月以下的婴儿中,由于被监禁的 inguinal hernias (2016-2020) 导致丸亡的婴儿的回顾性分析 (2016-2020).
- 患者被分为管切除和丸保存组,健康男性的对照组.
- 收集的数据包括双侧丸体积,二激素,B抑制素和抗精子抗体.
主要成果:
- 在42例病例中,有18例患者在手术后6-54个月进行了随访.
- 丸保存组的两个婴儿没有发展丸缩.
- 保存和对照组之间对侧丸体积没有显著差异;然而,两者都比体切除组小. 与对照组相比,保留和切除组的抑制B水平较低. 二二和抗精子抗体率没有显著的群体间差异.
结论:
- 由于被监禁的 inguinal hernias 导致丸死的婴儿的丸保存似乎是可行的.
- 这种保守的方法可能允许丸存活,而不会对对侧丸产生不良影响.
- 在这些情况下,考虑不那么激进的手术管理,如丸保存,是合理的.
相关概念视频
01:27Testes: Histology
947
A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
The spermatogenic cells, responsible for producing sperm, are...
The spermatogenic cells, responsible for producing sperm, are...
947
01:19Testes: Gross Anatomy
2.2K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
2.2K
01:23Infertility in Males
270
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
270