Forming factor of ucchieval test
1. Endocrine factors: If the maternal chorionic gonad hormone is insufficient or the testicular itself has defects and does not respond to the hormone, it often causes incomplete bilateral testis.
2. Mechanical factors: For example, if the blood vessels are too short, testicular leads or ditch ditch dysplasia, tissue adhesion of tissue and lacked peritoneal, and testicular variation of testicular muscles hindered testicular decline.This situation often causes incomplete unilateral testicles.
How to treat crypto test
1. Hormone therapy
The cause of cryptor test, especially the bilateral cryptorchidal test, may be related to endocrine, so endocrine therapy can be given after 1 year of age. The currently used endocrine is:
(1) Velvers (HCG): The purpose of treatment is to improve the function of the interstitial cells (S Cell) and the function of supporting cells, promote testicular development, increase testosterone secretion, promote the decline in testicular, and the effective efficiency is about 14%～ 50%, the dose is 1,000 to 1500U, injecting the internal muscle the next day, follow -up after one month, the total amount should be> 10,000 U, and 20,000 U does not increase the efficacy. On the contrary, there will be adverse reactions to cause testicular atrophy.
(2) Lbahogang generating hormone (LH-RH): The effective rate is 30%to 40%, the dosage is 1.2 mg/d, the nostrils per side are 200μg, 3 times/d, and the nasal fog is inhaled. 4 weeks are 1A course of treatment, followed by 3 months.
(3) LH-RH HCG: The combined application of the two can improve the efficacy. The dose is lh-rh1.2 mg/d. It is inhaled through the nasal atomization 3 times.week.
2. Surgical treatment
Testosxis fixation is the main method for treating cryptor test. The first diagnosis has exceeded 6 months or hormone treatment is invalid. After 1 year old, surgical treatment can be used.The umbrella that is too short of the spermone can be divided into two phases of surgery to fully ensure the blood supply to the testicles, but there is also the possibility of the second surgery to accidentally hurt the sperm vascular.Recently recommend this improvement method, Fowler-Stephens staging surgery, that is, the initial surgery only cuts off the sperm vascular pedicle and does not fix the testicularis. After the second phase is to be enriched on the side of the side support, the testicular can be fixed in the scrotum to reduceThe chance of testicular atrophy.
(Editor in charge: Zheng Guisheng)
