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目的探讨小儿阴囊急诊诊断方法及治疗效果。方法选取我院2010年1月至2013年10月所收治的107例阴囊急诊患儿,本组患儿中行急诊手术探查的共有37例,其中包括16例无法排除睾丸扭转或高度怀疑睾丸扭转患儿,21例彩超声诊断为睾丸扭转的患儿。其余患儿给予其相应的抗感染治疗。结果在手术过程中共发现有29例患儿出现睾丸扭转,还发现了3例睾丸附件扭转,另外75例患儿被诊断为睾丸附睾炎,行阴囊引流治疗。本组患儿平均住院天数为(11.5±0.3)d,最后均病愈出院。结论由于在临床上漏诊或误诊睾丸扭转的现象很容易造成较为严重的后果,所以,对于那些早期可疑睾丸扭转的病例,可以在最短的时间内开展一系列的阴囊手术探查工作,以此降低病死率和致残率。
Objective To explore the diagnosis and treatment of pediatric scrotum emergency. Methods From January 2010 to October 2013 in our hospital, 107 patients with scrotal emergency were enrolled in this study. A total of 37 patients underwent emergency surgical exploration in this group, including 16 patients who could not rule out testicular torsion or highly suspected testicular torsion Children, 21 cases of ultrasound diagnosis of testicular torsion in children. The remaining children given their appropriate anti-infective treatment. Results During the operation, 29 cases of testicular torsion were found, and 3 cases of testicular appendages were found to be reversed. Another 75 cases were diagnosed as testicular epididymitis and treated with scrotum drainage. The average number of days of hospitalization for children (11.5 ± 0.3) d, were finally discharged. Conclusions Because of the clinical consequences of misdiagnosis or misdiagnosis of testicular torsion, serious consequences may be caused by a series of scrotal surgical exploration in the shortest possible time in cases of early suspected testicular torsion, in order to reduce mortality Rate and disability rate.