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[育儿经] 隐睾症

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黄金长老

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电梯直达

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发表于 2014-12-4 02:54 PM |只看该作者 |倒序浏览

本帖最后由 sinleeckk 于 2014-12-5 08:19 AM 编辑

宝宝隐睾的症状

　　隐睾（也称“睾丸未降”）是指男宝宝出生后睾丸仍留在腹腔中或腹股沟内，而没有在出生前沿着腹股沟管下降进入阴囊。隐睾在男宝宝中并不少见，特别是那些早产的宝宝常常伴有一侧或两侧隐睾。由于宝宝的睾丸大概会从出生前8周开始下降进入阴囊，所以，隐睾在早产儿中更常见。在足月出生的男宝宝中，大约有1/30会出现隐睾症状。

　　由于隐睾的宝宝有一侧或两侧睾丸未下降进入阴囊，所以他的阴囊会比正常的小一些，还可能会看起来不对称。宝宝出生后在随即进行体检中，医务人员还会对他的生殖器做一次彻底的检查，以确认两侧睾丸都进入了阴囊或至少进入了阴囊上方的管道。如果不是这样，而且宝宝的睾丸在出生后3个月内都没有进入阴囊，那么就是隐睾，应该去看小儿泌尿外科医生。
宝宝隐睾的原因

　　导致宝宝隐睾的确切原因尚不清楚。可能是妈妈体内激素水平失衡引起宝宝睾丸不下降，也可能是由于宝宝对妈妈激素出现异常反应造成的。有时候，还可能是睾丸下降的通道有纤维增生发生阻滞，或者是帮助睾丸下降的肌肉没有正常发挥作用，从而导致了隐睾。
宝宝隐睾怎么办

　　所幸的是，大约2/3出现隐睾的宝宝都可以在1岁之内自愈。如果宝宝到了1岁两侧睾丸还是没有下降，你的宝宝就需要在2岁之前接受治疗。有两种方法可以治疗隐睾：

• 外科手术能够纠正解剖生理异常导致的隐睾，或者假如宝宝对激素治疗没有效果，也需要做外科手术将睾丸拉入阴囊。比方说，如果一条纤维组织索带阻挡了睾丸下降进入阴囊的通道，那么这些组织就必须通过外科手术袪除。

　　如果牵引睾丸的韧带太短，可以通过手术加长。有时在外科手术中，医生发现韧带在通过外科手术加长前还需要生长一段时间，那么可能会在几个月后再给隐睾的宝宝做手术。如果宝宝同时还伴有腹股沟疝气（这是隐睾常见合并症，即一段肠管向外或向下突出腹腔外，甚至进入阴囊），则必须进行手术治疗。这种隐睾治疗手术通常需要住院进行。

• 激素治疗可以刺激睾丸产生更多睾酮。接受这种隐睾治疗的宝宝每周需要注射2次人绒毛膜促性腺激素，这是一种刺激睾丸成熟并促使睾丸在几周内开始下降进入阴囊的激素。这种治疗对大约20%的病例有效，尤其是对那些睾丸本身已经很低的隐睾病例成功率较高。但如果激素治疗无效，医生还是会采用手术治疗宝宝隐睾。
宝宝隐睾不治疗会怎么样

　　由于患有隐睾的宝宝睾丸不在阴囊里，因此会影响睾丸的正常发育。当睾丸位置不当超过2年以上，还可能会增加宝宝以后得睾丸癌和不育症的几率，并容易出现萎缩。在极少数病例中，未下降的睾丸会发生扭曲，切断它自身的供血，从而引起腹股沟或阴囊疼痛。另外，由于睾丸的活动度小，也容易受外伤挤压。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。希望各位妈妈可以好好替自己的婴儿好好的检查，因为这病症在很多是因为父母缺乏这方面的知识而导致孩子失去最好治疗的时期。。

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sinleeckk

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黄金长老

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发表于 2014-12-4 02:55 PM |只看该作者

本帖最后由 sinleeckk 于 2014-12-5 08:25 AM 编辑

这是英文的解说

Undescended testicles—a condition also called cryptorchidism—is actually fairly common. However, the name is a bit misleading, which is why it is sometimes also referred to as “undescended testicles.”

Here’s why: An undescended testicle is a testicle that never moves downward from the abdomen into the scrotum (the bag of skin hanging behind and under the penis). A undescended testicle does come down—just not completely. That’s what we see in most cases. Mal-descent can affect one or both testicles.

Undescended testicles, or cryptorchidism, is a painless condition.
The condition is congenital (meaning it is present at birth).
One to two percent of male infants are affected. Premature babies are affected by undescended testicles at a higher rate.
The more premature your baby is, the higher the chance of having an undescended testicle.
Testicles that do not descend into the scrotum are more prone to injury or testicular torsion (when the blood supply is cut off), rendering the testicle unviable.
In some cases—about 20 percent—an undescended testicle will resolve itself (or “drop”) on its own within your child’s first three or four months of life. Those that don’t will require surgery.
Parents of baby boys who’ve been diagnosed with undescended testicles often worry, “Will my son be able to have children of his own?” Fortunately, the answer is yes in most cases for boys with one undescended testicle.

Long-term consequences are rare, but you should be aware of them:

Undescended testicles may increase the risk of infertility, especially if both testicles are affected. However, boys who have one undescended testicle tend to ultimately father children at the same rate as those who are not affected by the condition at all.
Boys who have two undescended testicles—a much lower percentage of patients— do have a significantly lower fertility rate.
Undescended testicles are slightly more prone to develop testicular cancer, even after corrective surgery. However, surgery may reduce the risk of developing cancer. Parents should know that cases of cancer related to undescended testicles are rare.
How Children’s Hospital Boston approaches undescended testicles

Here at Children’s, we treat boys with undescended testicles in our Department of Urology. In fact, we have a dedicated Andrology Program within the department that focuses specifically on male hormone and reproductive disorders. (Andrology is the field of urology that studies and addresses conditions involving testicular function).

The laparoscopic advantage

In most cases, undescended testicles cannot be felt by hand. Boston Children's Hospital was the nation’s first hospital to use laparoscopy—a minimally invasive surgical procedure that involves looking into the abdomen with a very small telescope—to locate a testicle.

Boston Children’s Hospital is home to a Center for Minimally Invasive Surgery. Here at our center, we develop and refines surgical procedures that use tiny incisions and miniaturized, highly sensitive operating tools, cameras and telescopes.
Boston Children’s does more laparoscopic procedures than any other center in New England.
Our physicians also use laparoscopy to move a testicle into the scrotum. This permits the best growth and development possible for that testicle.
Most importantly, our clinicians are well-practiced in both laparoscopy and the treatment of undescended testicles in general: every week, we help as many as three to four kids with the condition.。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。请问那位妈妈的孩子有这病症