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[对良性丸瘤进行丸节省微手术:16例病例的报告]

Lei Yu¹, Jing Zhao², Hong-Qiang Wang³

¹Department of Andrology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China.

Zhonghua nan ke xue = National journal of andrology

|August 23, 2024

概括

丸节省微手术 (TSMS) 有效地治疗良性丸瘤 (BTT),保持正常的丸组织和男性生育能力. 手术后的随访证实没有复发,并保持了荷尔蒙和精液的参数.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
安德罗学与人类学
手术瘤学手术瘤学

背景情况:

良性丸瘤 (BTT) 需要谨慎管理,以保持丸功能.
丸节约微手术 (TSMS) 是BTT治疗的一个新兴技术.

研究的目的:

评估TSMS对BTT的安全性和临床疗效.
评估TSMS对丸组织,激素水平和生育能力的影响.

主要方法:

对16例用TSMS治疗的BTT病例进行了回顾性分析.
术前评估包括成像 (CDFI,MRI) 和实验室测试 (血清T,AFP,HCG,LDH,精液分析).
在手术期间冷病理和术后随访 (14-40个月) 监测结果.

主要成果:

在所有情况下,TSMS成功完成,所有瘤都被证实为BTT.
手术后成像显示丸血液供应正常,没有复发或转移.
荷尔蒙水平和精液参数保持稳定,有两个病例实现了自然受孕.

结论:

在手术前对BTT的差分诊断中,CDFI和MRI的帮助.
TSMS 能够使瘤完全切除,同时最大限度地保存丸组织.
在BTT患者中,TSMS有效地保持了男性生育能力.

关键词:

微手术;节制丸的手术;良性丸瘤;生育能力的保护.

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