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睾丸扭转是泌尿外科较少见的急症之一,隐睾扭转更为少见,我院收治2例,现报告如下.例1 13岁.因左腹股沟区包块伴疼痛5天入院.无外伤及剧烈活动等诱因,既往无类似病史.患儿自幼左阴囊内睾丸缺如.体检:T37.4℃,左腹股沟区可扪及一4cm×4cm×3cm肿物,中等硬度,触痛明显.皮肤无红肿,左阴囊空虚,内无睾丸.诊断为左侧隐睾扭转.急症手术,术中见左侧睾丸位于外环口上方,顺时针扭转360度,呈炭黑色已坏死.遂行左睾丸切除术.病理报告:睾丸坏死.
Testicular torsion is one of the less common urological emergency, cryptorchidism is more common reversal, our hospital admitted in 2 cases, are as follows .Example 1 13 years old .Used for left inguinal area with pain 5 days admitted .No trauma and Violent activities and other incentives, no previous history of similar disease in children with childhood left scrotum testicular absence. Physical examination: T37.4 ℃, left groin area palpable and a 4cm × 4cm × 3cm tumor, moderate hardness, tenderness significantly. No swelling of the skin, left scrotum emptiness, no testes. Diagnosis of left torsades deformity. Emergency surgery, surgery see the left testis located above the outer ring mouth, clockwise 360 degrees, was carbon black necrosis. Excision. Pathology report: Testicular necrosis.