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例1 8岁。右侧阴囊剧痛2小时入院。3年前因右侧腹股沟斜疝并嵌顿而行手术治疗。体检:急性痛苦病容,腹部及右腹股沟区无阳性体征。阴茎无异常,双侧阴囊对称。右侧睾丸位置较左侧高2cm,体积稍大,压痛明显,活动度较对侧小。诊为急性睾丸扭转而急诊手术。术中见睾丸鞘膜腔内有淡黄色液体约30ml,清亮。精索鞘膜腔存在,与腹腔不相通。两腔与-1.5cm×1.5cm的狭窄孔相通,睾丸嵌顿于此孔,轻度水肿,附睾仍在睾丸鞘膜腔内。将睾丸复位后,睾丸血液循环尚好,未作特殊处理,睾丸精
Example 1 8 years old. Right scrotum pain 2 hours admission. 3 years ago because of the right inguinal hernia and incarceration and surgical treatment. Physical examination: acute pain, no positive signs in the abdomen and right groin area. No abnormality of the penis, scrotal bilateral symmetry. The right testis position than the left 2cm, slightly larger, tenderness, activity than the contralateral small. Diagnosis of acute testicular torsion and emergency surgery. Seen intraoperative testis epidural cavity pale yellow liquid about 30ml, clear. Spermatic cord sheath exists, and the abdominal cavity is not the same. Two cavities and 1.5 cm × 1.5cm narrow hole communicating, testicular incarcerated in this hole, mild edema, epididymis is still in the testicular sheath cavity. After the testis reset, testicular blood circulation is good, without special treatment, testicular essence