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目的 提高对急性附睾睾丸炎性精索血运障碍的认识。 方法 对 2 4例行手术探查的急性附睾睾丸炎患者的临床资料进行总结。 结果 2 4例精索均水肿增粗 ,15例精索鞘膜与睾丸鞘膜移行处形成狭窄环 ,9例附睾与精索紧密粘连。 6例术前病程≥ 10d者中 5例睾丸梗死 ,1例萎缩 ;18例病程 <5d者中 1例睾丸梗死 ,1例萎缩 ,16例恢复正常。 结论 急性附睾睾丸炎保守治疗效果不佳的原因可能为精索血运障碍 ,对这类病例应早期手术治疗。
Objective To improve the understanding of acute epididymic and testicular inflammatory spermatic cord blood disorders. Methods The clinical data of 24 cases of acute epididymo-orchitis patients who underwent surgical exploration were summarized. Results Twenty-four cases of spermatic cord edema and thickening, 15 cases of spermatic sheath and testis sheath formation of stenosis, 9 cases of epididymis and spermatic cord adhesion. Five of the 6 patients had a testicular infarction and 1 had atrophy in 6 patients with a preoperative duration of ≥10 days. One of the eighteen patients with a duration of 5 days had a testicular infarction, 1 had atrophy and 16 had returned to normal. Conclusions The cause of poor conservative treatment of epididymo-orchitis may be the obstacle of spermatic cord blood supply. Early surgical treatment of such cases should be performed.