在患有无可触摸丸的儿童中,逆侧丸缩的诊断有效性
1Department of Pediatric Surgery, Okan University, Faculty of Medicine, Tuzla, İstanbul, Turkiye.
Urology journal
|November 19, 2025
概括
对侧丸体积测量可以帮助区分失踪的丸与可行的腹内丸在没有可触摸丸的儿童中. 这有助于手术规划和父母咨询未下降的丸.
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
- 发展生物学 发展生物学
背景情况:
- 儿童的非触摸性丸 (NPt) 是一个诊断挑战.
- 区分单体和可行的腹内丸对于适当的管理至关重要.
- 逆侧丸缩可能表明缩或缺席的双侧丸.
研究的目的:
- 评估对抗侧丸体积测量在区分单体和腹内活丸的实用性在患有NPt的儿科患者中.
- 在未下降丸的情况下,将超声波发现与手术结果相关联.
主要方法:
- 对179名接受丸未下降手术的患者 (2017-2024) 的回顾性审查.
- 包括33名单边NPt患者.
- 通过超声波测量对侧丸体积6-12个月前拉巴洛斯科;发现与手术结果相比较.
主要成果:
- 在消失的丸和可行的腹内丸之间,对侧丸体积的显著差异 (p < 0.001).
- 在内环 (AIR) 周围的丸和远离内环 (RIR) 的丸之间发现了显著的差异 (p = 0.03).
- 腹腔镜检查发现了27名患者的活丸和6名患者的缺席/缩丸.
结论:
- 术前对侧丸体积测量对于评估单侧NPt儿童的腹内丸有价值.
- 过度缩的逆侧丸表明潜在的单体形并指导手术方法.
- 这种测量有助于在术前的手术规划和关于诊断的家长咨询.
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