摘要
目的:总结未成年患者急性附睾炎的发病特点,探讨未成年患者急性附睾炎的规范化治疗方法。方法:回顾性分析我院2008年1月~2016年6月确诊为急性附睾炎的142例患者的临床资料,根据年龄分为未成年组76例(A组,<18岁)和成年组66例(B组,≥18岁)。结果:A、B两组在发病年龄、症状持续时间、住院时间及发病部位差异有统计学意义。B组在血白细胞计数(WBC)、C反应蛋白(CRP)、脓尿发生率及尿培养的阳性率明显高于A组。A组中仅有3例出现脓尿及1例尿培养阳性。结论:未成年急性附睾炎主要以特发性附睾炎为主,对于就诊的未成年急性附睾炎常规使用抗生素治疗应慎重,但对于有脓尿无论尿培养是否阳性的患者应使用抗生素治疗。
Objective：To summarize the characteristics of acute epididymitis in juveniles and to explore its standard treatment.Method：We retrospectively reviewed the medical records of 142 patients who were diagnosed with acute epididymitis from Jan.2008 to Jun.2016.We investigated the characteristics of epididymitis in children.The patients were divided into two groups：group A（aged less than 18 years,76 patients）and group B（aged more than 18 years,66 patients）.Result：There were statistically significant difference in age,symptom duration,hospital stay and lesion location between two groups.White blood cell count and serum C-reactive protein levels,pyuria and positive urine culture results were statistically higher in group B.Three cases of pyuria and one case of urine culture positive were found in group A.Conclusion：The most common cause of juvenile acute epididymitis was idiopathic.For the treatment of juveniles with acute epididymitis,routine use of antibiotics should be careful,but antibiotic treatment should be used for those with pyuria regardless of whether urine culture is positive.
出处
《临床泌尿外科杂志》
2018年第1期64-66,共3页
Journal of Clinical Urology
基金
辽宁省自然基金(编号2015020289)
