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目的探讨创伤性睾丸脱位的发病特点、漏诊误诊原因、手术时机等,以提高诊治水平,避免延误诊治。方法复习历史文献并回顾1992~2006年经治的3例病人。结果3例均较年轻,平均26岁。均由于骑行中突然减速致使会阴区骑跨冲击鞍座或油箱引起,其中2例延误诊治;3例均在8日内行手术治疗并治愈,随访时间分别为6年、1年、1年。睾丸位置、大小、形态、质地以及性生活均正常。精液检查未见异常。结论本病容易漏诊误诊而延误治疗,导致睾丸不可逆损害,所以应详细了解伤病原因,认真听取病史,仔细检查阴囊和及时手术治疗。
Objective To investigate the incidence of traumatic testicular dislocation, missed diagnosis and misdiagnosis reasons, timing of surgery, etc., in order to improve the diagnosis and treatment level, to avoid delays in diagnosis and treatment. Methods Reviewing historical documents and reviewing 3 patients treated since 1992 to 2006. Results All the 3 cases were younger, with an average of 26 years. All of them were caused by riding a cross-impact saddle or fuel tank in the perineal area due to a sudden deceleration in riding. Delayed diagnosis and treatment were delayed in 2 cases. Surgical treatment and cure were performed in 3 cases within 8 days. The follow-up time was 6 years, 1 year and 1 year respectively. Testicular position, size, shape, texture and sexual life are normal. No abnormal semen examination. Conclusions This disease is easy to misdiagnosis and misdiagnosis of the testis, leading to irreversible damage to the testes. Therefore, we should learn more about the causes of injuries, carefully listen to the medical history, carefully scrutinize the scrotum and timely surgical treatment.