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例1.15岁,夜间突发左侧睾丸剧痛,沿精索放射,呕吐一次,作睾丸炎治疗3天无效。体检:左阴囊皮肤红肿,睾丸触痛明显,有波动感,细针穿刺抽得少许暗红色浑浊液体。术中见睾丸逆时针扭转540度,呈紫黑色,行左睾丸切除。 例2.35岁,右侧睾丸肿痛4天。体检:右睾丸质硬压痛,附睾轮廓不清,抬高阴囊时疼痛加重,拟诊睾丸肿瘤。术中见右睾丸顺时针扭转360度,呈紫黑色,行右睾丸切除。 例3.27岁,夜间睡眠时突发左睾丸剧痛,沿精索放射,恶心。以睾丸炎治疗一天,疼痛无缓解。体检:睾丸上缩,呈横行,附睾轮廓不清,提睾肌反射消失,诊断为睾丸扭转。术中见右睾丸逆时针扭转360度,呈紫黑色,行右睾丸切除。 例4.16岁,上体育课时突发左腹股沟区剧痛,呕吐一次,3h后人院。体检:左腹股沟外环稍下方处可扪及一肿块,触痛明显。诊断为左侧斜疝嵌顿。术中见睾丸逆时针扭转360度,呈紫色,立即将睾丸复位,精索周围以普鲁卡因封闭,睾丸热敷20min后色泽略显红润。将睾丸系膜固定于阴囊底
Case 1.15 years old, night sudden left testicular pain, radiation along the spermatic cord, vomiting, orchitis for 3 days invalid. Physical examination: left scrotum skin irritation, testicular tenderness significantly, there is fluctuation, fine needle aspiration dark red turbid liquid. See surgery to reverse the testis counterclockwise 540 degrees, was purple, line left testicular excision. Example 2.35 years old, right testicular swelling and pain for 4 days. Physical examination: Right testicular hard tenderness, unclear epididymis, increased pain when raising the scrotum, to be diagnosed with testicular cancer. Right to see the right torsion surgery clockwise 360 degrees, was purple, OK right testicle excision. Example 3.27 years old, nighttime sudden onset of left testicular pain, radiation along the spermatic cord, nausea. One day with orchitis, no pain relief. Physical examination: Testicular contraction, was horizontal, epididymal contours unclear, cremaster reflex disappeared, diagnosed as testicular torsion. Surgery, see the right testis counterclockwise 360 degrees, was purple, OK right testicle excision. Example 4.16 years old, sudden physical tension left groin area pain, vomiting once, 3 h after the hospital. Physical examination: left groin outer ring can palpable slightly below the mass, tenderness significantly. Diagnosis of the left oblique hernia incarceration. See surgery to reverse the testis 360 degrees counterclockwise, purple, and immediately reset the testis, spermatic cord around the closure of procaine, testicular heat 20min after the color slightly rosy. Testicular mesangial fixed to the bottom of the scrotum