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对隐睾的治疗大多认为应在青春期以前施行复位固定术,但对手术的最适宜年龄各家意见不一。本文经复习文献和临床观察,依据隐睾的超微结构改变,提出个人的看法。胎儿在7~8个月时睾丸由腹膜后下降。正常男婴在出生时睾丸大多数下降到阴囊内,但尚有0.8%的男婴在出生后一年睾丸仍未降入阴囊。成人隐睾症约为0.3~0.7%,未降入阴囊内的睾丸称为隐睾症。隐睾由于长期受腹内温度的刺激,导致生殖细胞和上皮的坏死、变性和萎缩影响精子的产生,甚致发生恶变。1981年韩玉升等报告5
Most of the treatment of cryptorchidism should be implemented before puberty, reduction and fixation, but the most appropriate age for surgery different opinions. This article reviewed the literature and clinical observation, based on changes in the ultrastructure of cryptorchidism, put forward personal views. Fetal in 7 to 8 months when the testes from the retroperitoneal decline. Most of the normal male baby’s testicles descended into the scrotum at birth, but 0.8% of the babies still did not see the testicles into the scrotum a year after birth. Cryptorchidism in adults is about 0.3 to 0.7%, not into the testicles of the scrotum is called cryptorchidism. Cryptorchidism due to long-term intra-abdominal temperature stimulation, resulting in germ cells and epithelial necrosis, degeneration and atrophy affect the production of sperm, even lead to malignant transformation. 1981 Han Yu-sheng and other reports 5