1980年Martin等报道运用显微外科血管吻合方法成功地将2例腹内高位隐睾移植于阴囊内,国内近年来也陆续有这方面的报道。我们于1984年施行了2例自体睾丸移植,现报告如下: 例1 男,25岁,病案号55451。自幼阴囊内无睾丸,结婚2年未生育,于1984年5月21日入院。检查:发育、营养良好,男性体态,有胡须,喉结明显,阴毛呈男性分布,阴茎与正常成人无异。阴囊小,未触及睾丸。精液检查无精子。诊断双侧腹腔型隐睾。于5月31日在连续硬膜外麻醉下,做右腹直肌外缘切口,切口上部平脐,下达耻骨连合。将腹膜推向内侧,找到睾丸,睾丸约2.5×2.0×1.5cm~3,形状正常,硬度中等。游离精索血管至第4腰椎水平。尽可能多游离腹壁下动脉及静脉至分枝处,分别予以切断并上血管夹,见动脉口径1.0mm,静脉 1980 Martin et al reported the successful use of microsurgical vascular anastomosis 2 cases of high intra-abdominal cryptorchid transplantation in the scrotum, the domestic in recent years have also been reported in this area. We performed 2 cases of autologous testicular transplantation in 1984, the report is as follows: 1 male, 25 years old, case number 55451. No testicles in the scrotum since childhood, married 2 years without childbirth, was admitted to hospital on May 21, 1984. Check: development, good nutrition, male body, beard, Adam’s apple obvious, pubic hair was male distribution, the penis is no different from normal adults. Small scrotum, no testicles. Semen check without sperm. Diagnosis of bilateral abdominal cryptorchidism. On May 31 under continuous epidural anesthesia, do the right rectus abdominis incision, incision upper umbilical, issued pubic symphysis. Push the peritoneum to the inside, to find the testes, testis about 2.5 × 2.0 × 1.5cm ~ 3, normal shape, medium hardness. Free spermatic vessels to the 4th lumbar level. As much as possible free abdominal artery and vein to the branches, were cut off and the vascular clip, see the artery diameter 1.0mm, the vein