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目的总结阴囊急症的临床特点,减少误诊,提高救治效果。方法结合相关文献回顾性分析126例阴囊急症患者的临床特点。结果急性附睾炎49例(38.9%),急性睾丸炎31例(24.6%),急性附睾睾丸炎并发精索炎11例(8.7%),急性阴囊感染3例(2.4%),睾丸外伤9例(7.1%),睾丸扭转22例(17.5%),阴囊坏疽1例(0.8%)。手术治疗29例,非手术治疗97例。睾丸扭转患者手术治疗后恢复良好。结论阴囊急症早期准确诊断十分重要,尽早采取治疗措施是救治成功的关键。
Objective To summarize the clinical features of scrotal emergency to reduce misdiagnosis and improve the therapeutic effect. Methods Retrospective analysis of 126 cases of scrotal emergency patients with clinical features. Results Acute epididymitis in 49 cases (38.9%), acute orchitis in 31 cases (24.6%), acute epididymal orchitis complicated with spermatic cord in 11 cases (8.7%), acute scrotal infection in 3 cases (2.4%), testicular trauma in 9 cases (7.1%), testicular torsion in 22 cases (17.5%) and scrotal gangrene in 1 case (0.8%). Surgical treatment in 29 cases, non-surgical treatment of 97 cases. Testicular torsion recovered well after surgery. Conclusion It is very important to diagnose the early emergency of the scrotum emergency. Taking the treatment as soon as possible is the key to successful treatment.