CAJ | 학술논문

目的:对儿童午菲管扭转病因、诊断及早期手术治疗进行分析总结.临床资料:本组7例均有剧烈运动或直接暴力损伤史.特征为以附睾头部为中心整个附睾肿胀,其与睾丸相连处明显触痛伴阴囊红肿.术中发现午菲管扭转并获病理证实.复查睾丸正常.结果:7例均做午菲管切除.术后输通脉液及抗生素,10天后炎症消退,疗效优于非手术治疗.结论:午菲管扭转须与睾丸及睾丸附件扭转和睾丸炎相鉴别.早期手术治疗有利于睾丸及附睾炎症吸收和功能恢复.
목적:대인동오비관뉴전병인、진단급조기수술치료진행분석총결.림상자료:본조7례균유극렬운동혹직접폭력손상사.특정위이부고두부위중심정개부고종창,기여고환상련처명현촉통반음낭홍종.술중발현오비관뉴전병획병리증실.복사고환정상.결과:7례균주오비관절제.술후수통맥액급항생소,10천후염증소퇴,료효우우비수술치료.결론:오비관뉴전수여고환급고환부건뉴전화고환염상감별.조기수술치료유리우고환급부고염증흡수화공능회복.
Seven children with W(o)lffian duet torsion had a history of strenuous exercise or direct violent injury.Swelling appeared in the epididymis,especially the head of epididymis.The scrotum became red and swollen.During operation,the torsional W(o)lffian duct was resected.Intravenous low molecular weight dextrose and antibiotics were given postoperatively.Torsion of W(o)lffian duct was related to the anatomical abnormality.strenuous exercise and direct violent injury.It should be differentiated from the torsion of testis and the orchitis.It is suggested that an early exploration would be beneficial to the resolution of inflammation and the restoration of the testicular function.