After the baby is born for a while, the testicles have not moved down, and we can judge that it is ucchieving test.Parents must pay attention to hidden testicles to avoid affecting the baby's future growth.So, what should I do?
What examinations do I have to do?
1. Type B ultrasonic examination is currently the most commonly used method. This test is not damaged and can check the patients with urinary systems such as kidney accumulation, deformity, stones and other urinary systems.But the diagnosis rate of intra -abdominal cryptor test is not high enough.
2. Selective cable intravenous angiography is a method widely used. It can diagnose the position of cryptor testis from the end shape of the internal vein of the internal vein from the sperm cable after the contrast agent.However, it is often because the venous valve affects the internal vein of the cable, and it is difficult to operate under the age of 2.
3. Electronic computer fault scan (CTSCAN) and MRI (MRI) have also been used in the positioning diagnosis of hidden tests in the abdomen in recent years, all of which have high accuracy.The disadvantages of these two inspections are that they are difficult to check in young children and cost high.
4. Laparoscopy has been widely used in the diagnosis and treatment of intra -still test tests in recent years. The scope of laparoscopic application can be widely used for hidden tests patients and children under 1 year old.The rate can reach 88%to 100%.You can determine the location or testicular of the cryptophage. In the laparoscopic examination, you can first find the testicular vascular pyromone along the testicular blood vessels along the testicular vascular pyromone which can be found in the abdomen or the inner ring of the groin.Blind blood vessels can be determined as testicular lack.If there is a nodule with a blind end, it should be removed and sent to the pathological examination.
How to treat cryptor testis?
Endocrine therapy
The level of testosterone and lutein in patients with cryptorchidal patients is low. After treatment, serum testosterone rises occur after HCG treatment, indicating that the testicular intercostal cells are sensitive to HCG, and the testicular decrease is the largest.
Surgical treatment
1. Teste sketching: High -level cryptorchidism has been atrophied, or adult cryptor tests should be done as soon as possible to prevent cancer.
2. Testicles are transplanted by autologous: Because the sperm cable is too short and the testicular location is too high, it cannot be fixed in the scrotum after loosening.The testicular blood vessels match the blood vessels near the scrotum to maintain the blood circulation of the testicles.
3. Teste fixation: Suitable for 2 to 5 years old, invalid hormone therapy and unilateral cryptorchidism.Unilateral cryptor tests are mostly caused by mechanical factors such as sperm cables, short blood vessels, short or adhesion, etc., so surgical treatment must be surgical.The surgical method is to loosen the tissue of the testicles and sperm cables, pull the testicles into the scrotum and fix it.
(Editor in charge: Zheng Guisheng)
