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目的探讨闭合性睾丸损伤的诊断和治疗方法。方法选取我院收治的闭合性睾丸损伤患者17例,根据患者睾丸的损伤情况确定应用手术治疗还是保守治疗,对所有患者进行随访和分析,比较两组疗效。结果 13例患者给予手术治疗,1例因睾丸破裂严重而行睾丸切除,其中12例获随访6个月~1年,伤睾质地及大小基本与健例相似,无1例精液异常或性功能障碍,无1例发生睾丸萎缩;4例患者给予保守治疗,3例获2年随访,其中2例发生睾丸萎缩。结论保守治疗比较适合于小的单纯性阴囊血肿,但睾丸萎缩率较高,对于大而增长较快的血肿行积极有效的手术治疗对睾丸的愈合有重要意义,可以最大限度地保留睾丸组织,避免发生睾丸萎缩及生精障碍,减少并发症。
Objective To investigate the diagnosis and treatment of closed testicular injury. Methods Seventy patients with closed testicular injury admitted to our hospital were selected. According to the damage of the testis in the patients, whether surgical treatment or conservative treatment was selected, all the patients were followed up and analyzed, and the curative effect was compared between the two groups. Results Thirteen patients underwent surgical treatment. One patient underwent orchiectomy due to severe testicular rupture. Twelve patients were followed up for 6 months to 1 year. The quality and size of wounds were similar to those of health cases. None of them had semen abnormality or sexual function 1 case had testicular atrophy, 4 cases received conservative treatment and 3 cases were followed up for 2 years, of which 2 cases had testicular atrophy. Conclusions Conservative treatment is more suitable for small simple scrotal hematoma, but the testicular atrophy rate is higher. For the large and rapid growth of hematoma, the positive and effective surgical treatment is of great significance to the healing of testis and can maximize the retention of testicular tissue, Avoid testicular atrophy and spermatogenic disorders, reduce complications.