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目的分析61例住院流行性腮腺炎合并睾丸炎患者的临床特征。方法对沈阳市第六人民医院2008年10月至2009年6月收治的61例住院流行性腮腺炎合并睾丸炎患者的临床资料进行回顾性分析。结果发病年龄主要集中在18～38岁,高峰时间主要集中在12月～1月至4月～6月。大部分患者有明确的流行性腮腺炎患者接触史,无疫苗接种史。睾丸肿大出现在腮腺肿大后多见,少部分患者以睾丸炎为首发症状,随后出现腮腺肿大。睾丸均有不同程度肿大,单侧病变较多见,部分病例同时合并其他并发症。超声检查示病变侧睾丸增大,呈炎症性改变,可同时伴有少量鞘膜积液。给予综合治疗措施,疾病可恢复顺利,预后良好。结论给予中药清热解毒,干扰素治疗等综合措施,可以取得良好的临床效果。
Objective To analyze the clinical features of 61 patients with mumps and orchitis. Methods The clinical data of 61 hospitalized mumps patients with orchitis admitted from October 2008 to June 2009 in Shenyang Sixth People’s Hospital were analyzed retrospectively. Results The age of onset mainly concentrated in 18 ~ 38 years old, the peak time mainly concentrated in December ~ January to April ~ June. Most patients have a clear history of exposure to mumps and no history of vaccination. Testicular enlargement more common in the parotid gland enlargement, a small number of patients with orchitis as the first symptom, followed by parotid gland enlargement. Testicles have varying degrees of enlargement, more common unilateral lesions, some cases combined with other complications at the same time. Ultrasonography showed increased lesion side of the testis, was inflammatory changes, can be accompanied by a small amount of hydrocele. Give comprehensive treatment, the disease can be restored smoothly, the prognosis is good. Conclusions Given the traditional Chinese medicine detoxification, interferon therapy and other comprehensive measures, can achieve good clinical results.