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تاریخ امروز
پنج شنبه, ۹ فروردین

نقش لاپاروسکوپی و فراصوت در مدیریت بیضع غیر قابل لمس در کودکان

Role of laparoscopy and ultrasound in the management of “impalpable testis” in children

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ورودعضویت
اطلاعات مجله Asian journal of surgery 2014 http://www.e-asianjournalsurgery.com
سال انتشار 2014
فرمت فایل PDF
کد مقاله 6527

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چکیده (انگلیسی):

Background: Undescended testes is one of the most common congenital abnormalities
in boys. In cases of impalpable testes, ultrasound is often used to find the testis, which
frequently provides false-negative results. Recently, laparoscopy has become popular in the
management of impalpable testes.
Methods: Retrospective study of all children with impalpable testes presenting for laparoscopy
between August 2007 and July 2011 who had undergone ultrasound examinations without localizing
the testes was conducted and the role of laparoscopy in diagnosing impalpable testes was
evaluated.
Results: Twenty-three patients presented with impalpable testes for laparoscopy. All patients
underwent ultrasound examinations in which the testes could not be identified. Of the 23 patients,
Five patients were found to have palpable testes in the superficial inguinal pouch under
anesthesia and proceeded to conventional open exploration during which the testes were
brought into the scrotum. Eighteen patients were found to have impalpable testes in an evaluation
under anesthesia (EUA) and proceeded to laparoscopy. Twelve patients were found to
have intra-abdominal testes and underwent laparoscopic-assisted orchidopexy. Three patients
underwent a two-stage Fowler-Stephens procedure, and two patients with “vanishing” testes
with the vas and atrophic vessels entering a closed internal ring proceeded to open exploration
and orchidectomy for atrophic testes. In addition, a teenager with atrophic testes underwent
laparoscopic orchidectomy.
Conclusions: Laparoscopy is superior to ultrasound in the management of impalpable testes
when high-resolution ultrasound is not available during the diagnostic process, with respect
to both the sensitivity of localizing the testis and being more time and cost effective.

کلمات کلیدی مقاله (فارسی):

بیضه نهفته، بیضه غیر قال لمس، فراصوت، لاپاروسکوپی

کلمات کلیدی مقاله (انگلیسی):

undescended testis; impalpable testis; ultrasound; laparoscopy

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