论文部分内容阅读
我院1985年10月～2000年12月共收治睾丸扭转23例,均经手术证实,现结合诊治体会报告如下。 1 临床资料 本组23例,年龄3～62岁,平均21.3岁。均系单侧发病,其中左侧睾丸9例,右侧睾丸14例,发病时间最短1小时,最长12天,剧烈运动后发病6例,睡眠时突然发病9例,其余8例不明。 病人均有突然发生一侧阴囊内睾丸疼痛,呈持续性,可加剧并放射至同侧腹股沟及下腹部,伴有恶心、呕吐。体格检查:患侧阴囊红肿、压痛,开始时可触及睾丸和位置异常的附睾,但几小时后即小能区分阴囊内结构,睾丸肿大压痛,向上移位或横位,睾丸举痛试
Our hospital from October 1985 to December 2000 were treated 23 cases of testicular torsion, were confirmed by surgery, are combined with the diagnosis and treatment of the experience report is as follows. 1 Clinical data The group of 23 patients, aged 3 to 62 years, mean 21.3 years old. All of them had unilateral disease. There were 9 cases of testis on the left and 14 cases of testis on the right. The shortest onset time was 1 hour and the maximum was 12 days. Six cases developed after vigorous exercise. Nine cases occurred suddenly during sleep and the remaining 8 cases were unknown. Patients have a sudden side of the scrotum testicular pain, was persistent, can intensify and radiate to the ipsilateral groin and lower abdomen, accompanied by nausea and vomiting. Physical examination: ipsilateral scrotal swelling, tenderness, tentacles and the beginning of the reach of abnormal epididymis, but a few hours after the small structure that can distinguish between the scrotum, testicular swelling tenderness, upward shift or transverse testicular pain test