Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive CareРоссийский вестник детской хирургии, анестезиологии и реаниматологии2219-40612587-6554Eco-Vector183110.17816/psaic1831Case reportsКлинические случаиResearch ArticleIdentification of primary acquired cryptorchidism in children: a case seriesВыявление случаев первичного приобретенного крипторхизма у детей: серия клинических наблюдений儿童原发性获得性隐睾的发现：临床观察系列https://orcid.org/0000-0002-6067-51368298-6951BolotovYuriy N.БолотовЮрий Н.BolotovYury N.
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

MD, Cand. Sci. (Medicine)

b-y-n@rambler.ruhttps://orcid.org/0000-0002-8405-60223113-6982MinaevSergey V.МинаевСергей В.MinaevSergey V.
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

MD, Dr. Sci. (Medicine), Professor

sminaev@yandex.ruhttps://orcid.org/0009-0006-3330-052XKargaevaDiana M.КаргаеваДиана М.KargaevaDiana M.
Russian Federation
dkar1996@mail.ruhttps://orcid.org/0000-0001-5020-232X1762-8310GrigorovaAlina N.ГригороваАлина Н.GrigorovaAlina N.
Russian Federation

MD, Cand. Sci. (Medicine)

канд. мед. наук

MD, Cand. Sci. (Medicine)

alina.mashchenko@mail.ruStavropol State Medical UniversityСтавропольский государственный медицинский университетStavropol State Medical UniversityKuban State Medical UniversityКубанский государственный медицинский университетKuban State Medical University30122024191020241445235302907202409112024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-ВекторCopyright ©; 2024,2024Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://rps-journal.ru/jour/article/view/1831

BACKGROUND: The term primary acquired cryptorchidism is generally used to describe the absence of a testicle in the scrotum in a boy with a previously documented descended testicle.

AIM: The aim of the study was to demonstrate the potential for unprovoked migration of a normally located testicle back to the groin region based on big data analysis.

MATERIALS AND METHODS: A retrospective analysis of 42,749 electronic outpatient records of boys aged 0–18 years who were followed up at the Children’s City Clinics of Stavropol in 2018–2022 with a diagnosis of undescended testicle was performed.

RESULTS: Between 2018 and 2022, 158 patients diagnosed with undescended testicles were followed up by pediatric surgeons, pediatric urologists/andrologists, and pediatric endocrinologists at pediatric clinics in the city. Of these, 14 patients (8.8%) were identified with testicles previously documented as being in the scrotum.

CONCLUSIONS: The study showed potential for spontaneous movement of the testicle from the scrotum to the groin area as the child grows. However, further research, including multicenter studies, is needed.

Актуальность. Под термином первичный приобретенный крипторхизм обычно понимают отсутствие тестикулы в мошонке у мальчика с ранее задокументированным опустившимся яичком.

Цель — показать возможность неспровоцированной миграции нормально расположенного яичка обратно в паховую область, на основании анализа больших объемов данных (big data).

Материалы и методы. Проведен ретроспективный анализ 42 749 электронных амбулаторных карт мальчиков в возрасте от 0 до 18 лет, наблюдавшихся в детских городских поликлиниках Ставрополя, за период 2018–2022 гг., с диагнозом «неопущение яичка».

Результаты. С 2018 по 2022 г. в городских детских поликлиниках под наблюдением детских хирургов, детских урологов-андрологов и детских эндокринологов находилось 158 пациентов с диагнозом «неопущение яичка». Из них, нами были выявлены 14 пациентов (8,8 %), у которых ранее яички были задокументированы как находившиеся в мошонке.

Выводы. Результат представленного исследования показал возможность самопроизвольного перемещения яичка из мошонки в паховую область по мере роста ребенка. Несмотря на это, необходимо дальнейшее проведение исследований, в том числе мультицентровых, в данном направлении.

背景。“原发性获得性隐睾”通常指的是男孩先前记录为正常下降至阴囊的睾丸，后来在阴囊中消失的情况。

研究目的。基于大数据（big data）分析，揭示正常位置睾丸自发迁移回腹股沟区域的可能性。

材料与方法。本研究对 2018年至2022年 期间在斯塔夫罗波尔市儿童城市门诊部接受观察的 42,749名0至18岁男孩 的电子病历进行了回顾性分析。这些患者被诊断为“隐睾”。

结果。在 2018年至2022年 间，共有 158名 被诊断为“隐睾”的患者在儿童外科医生、儿童泌尿科医生-男科医生及儿童内分泌科医生的监督下接受观察。通过分析发现，其中有 14例（8.8%） 患者的睾丸曾被记录为正常下降至阴囊。

结论。研究结果表明，随着儿童的成长，睾丸可能会从阴囊自发迁移至腹股沟区域。然而，仍需进一步研究，尤其是多中心研究，以深入探索这一现象。

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