CAJ | 학술논문

目的探讨急性附睾炎手术以及非手术治疗的临床疗效.方法选择2012年1月至2013年1月东莞人民医院收治的64例急性附睾炎患者作为观察对象,根据治疗方法随机分为手术组(32例)和非手术组(32例),对比两组治疗后疼痛缓解情况和体温下降情况.结果手术组术后疼痛感于24 h内全部缓解,但手术组各时间段疼痛缓解情况明显好于非手术组,差异有统计学意义(P＜0.05);手术组术后3d内、3～6d内、6～12d体温恢复正常的比例均显著高于非手术组,两组比较差异有统计学意义(P＜0.05),且手术组12 d内体温全部恢复正常;手术组术后无复发情况,非手术组术后复发率为18.75％,两组比较差异有统计学意义(P＜0.05);手术组平均住院时间明显短于非手术组,两组比较差异有统计学意义(P＜0.05).结论采用手术治疗急性附睾炎具有良好的治疗效果,相比非手术治疗能更快地缓解疼痛和降低体温,因此当患者疼痛难忍时,建议采取手术治疗.
목적 탐토급성부고염수술이급비수술치료적림상료효.방법 선택2012년1월지2013년1월동완인민의원수치적64례급성부고염환자작위관찰대상,근거치료방법수궤분위수술조(32례)화비수술조(32례),대비량조치료후동통완해정황화체온하강정황.결과 수술조술후동통감우24 h내전부완해,단수술조각시간단동통완해정황명현호우비수술조,차이유통계학의의(P＜0.05);수술조술후3d내、3～6d내、6～12d체온회복정상적비례균현저고우비수술조,량조비교차이유통계학의의(P＜0.05),차수술조12 d내체온전부회복정상;수술조술후무복발정황,비수술조술후복발솔위18.75％,량조비교차이유통계학의의(P＜0.05);수술조평균주원시간명현단우비수술조,량조비교차이유통계학의의(P＜0.05).결론 채용수술치료급성부고염구유량호적치료효과,상비비수술치료능경쾌지완해동통화강저체온,인차당환자동통난인시,건의채취수술치료.
Objective To investigate the clinical curative effects of operation and non operation on acute epididymitis.Methods Sixty-four acute epididymitis patients admitted from January 2012 to January 2013 in Dongguan people' s hospital were chose as observation object,according to the methods of treatment,the cases were randomly divided into operation group and non operation group,32 cases in each group.The pain relief and temperature drop were compared between the two groups.Results In the operation group,postoperative pain was relieved with in 24 h,but the pain relief was significantly better than that in non operation group at each time point,the differences were significant (P ＜ 0.05) ; In the operation group within 3 days,3-6 days,6-12 days after operation,the at each time point temperature returned to normal level were significantly higher than those of non operation group,the differences between the two groups were significant (P ＜ 0.05),and the temperature retured to normol level within 12 days in operation group; no recurrence in operation group and the recurrence rate in non operation group was 18.75％,there was significant difference between the two groups (P ＜ 0.05) ; the average hospitalization time in operation group was shorter than that in non operation group,ard there was significant difference between the two groups (P ＜ 0.05).Conclusions The effect of operation on acute epididymitis is good,it can relieve pain and reduce body heat faster than the non operation treatment,so operation therapy is recommended when the pain can't be toberated.