摘要
目的：外伤性睾丸移位是一种少见的临床情况,对于闭合性外伤患者手术时机的选择目前仍存在争议。本文旨在探讨闭合外伤性睾丸移位的手术时机。方法：回顾性分析我院泌尿外科1993年1月至2015年7月收治的闭合外伤性睾丸移位患者,并回顾相关中英文文献。结果：本中心共收治闭合外伤性睾丸移位的患者5例。3例患者为左侧睾丸,2例患者为右侧睾丸。所有患者均通过体格检查和B超明确诊断,并接受手术治疗。2例患者外伤后急诊手术治疗,3例患者经多普勒超声证实睾丸形态及血供正常的前提下,于外伤后3~12个月接受择期手术治疗。5例患者睾丸均保留患侧睾丸。随访6~36个月,患侧睾丸体积及血流正常。结论：闭合外伤性睾丸移位患者如超声证实移位睾丸形态及血供正常,可接受择期手术。经过适当的处理,闭合外伤性睾丸移位预后良好。
Objectives： To investigate the surgical timing for closed traumatic testicular dislocation.Methods： A review of the database of Urological Department in Peking University First Hospital was performed by searching for traumatic testicular dislocation from January 1993 to July 2015 and the relevant literature was reviewed. Results： Five cases of traumatic testicular dislocation were identified,with three on the left side and two on the right side. Diagnosis was suspected with the physical examination and confirmed by Doppler ultrasound. Two cases were operated shortly after trauma and three patients were operated 3- 12 months later with assessing the viability of the testis by color Doppler imaging. All patients＇ testicles were reserved. The testicular volume and blood flow were normal during a follow- up period for 6- 36 months. Conclusion： Elective operation can be chosen for closed traumatic testicular dislocation if the Doppler ultrasound confirmed the normal morphology and blood supply of injured testicles. With proper management,the prognosis of traumatic testicular dislocation is excellent.
作者
孟一森
谌诚
王宇
张凯
张骞
贺占举
金杰
MENG Yisen CHEN Cheng WANG Yu ZHANG Kai ZHANG Qian HE Zhanju JIN Jie.(Department of Urology, Peking University First Hospital, Insti- tute of Urology of Peking University, National Center for Cancer Research in Urinary and Andrology Reproductive Sys- tem, Beijing 100034, China)
出处
《中国性科学》
2016年第12期5-7,共3页
Chinese Journal of Human Sexuality
关键词
阴囊外伤
睾丸外伤
睾丸移位
急诊手术
择期手术
Blunt scrotal trauma
Testicular injuries
Testicular dislocation
Elective operation
Emergency operation
