摘要
目的探讨青春期睾丸扭转与季节温度变化的相关性。方法回顾性分析2009年6月至2017年12月在华中科技大学同济医学院附属武汉儿童医院经手术诊断为睾丸扭转的28例患儿的临床资料。根据住院信息及中国气象科学数据共享服务网查到并记录了该地区的季节和开始发病时当天温度。同时根据其发病的季节,将28例患儿分为春季组、夏季组、秋季组和冬季组。结果28例患儿平均年龄为13.0岁(10.4~17.0岁);病程1~4d[(1.0±0.4)d];睾丸扭转右侧17例(60.7%),左侧11例(39.3%)。6例(21.4%)行睾丸复位和双侧睾丸固定,22例(78.6%)行扭转睾丸切除术+对侧睾丸固定术。冬季(12月份-次年2月份)发病的中位数温度为1.3℃(-2.1~5.6℃),16例(57.1%)患儿在这个季节发生睾丸扭转;春季(3-5月份)中位数温度为9.4℃(6.5~12.1℃)时,6例(21.4%)患儿在这个季节发生睾丸扭转;夏季(6-8月份)中位数温度为21.8℃(19.0~26.5℃)时,2例(7.1%)患儿在这个季节发生睾丸扭转;秋季(9-11月份)中位数温度为11.1℃(8.0~13.2℃)时,4例(14.4%)患儿在这个季节发生睾丸扭转。不同季节睾丸扭转发生率差异有统计学意义(χ^2=3.270,P=0.0113),Pearson相关性分析提示青春期睾丸扭转的发生率与季节(冬季)呈负相关(r=-1.000,P=0.026)。结论青春期睾丸扭转呈现季节性倾向,低温寒冷季节易出现急性睾丸扭转。
Objective To investigate the correlation between testicular torsion in adolescence and seasonal temperature changes. Methods The clinical data of 28 children with testicular torsion diagnosed surgically at Wuhan Children′s Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from June 2009 to December 2017 were retrospectively analyzed.Seasons and temperatures at the onset of the disease in the area were recorded based on hospital information and China Meteorological Science Data Sharing Service Network.According to the seasons of onset, 28 children were divided into spring group, summer group, autumn group and winter group. Results The average age of 28 cases was 13.0 years (10.4-17.0 years). The duration of the disease was 1-4 days [(1.0±0.4) days]. Testicular torsion was found in 17 cases (60.7%) on the right side and 11 cases (39.3%) on the left side.Six patients (21.4%) underwent testicular reduction and bilateral testicular fixation, 22 patients (78.6%) underwent torsional orchiectomy plus contralateral testicular fixation.Testicular torsion was observed in 16 patients (57.1%) during the 3 months from December to February when the median temperature of onset was 1.3 ℃(-2.1-5.6 ℃). Testicular torsion was observed in 6 patients (21.4%) during the 3 months of spring (March to May) when the median temperature was 9.4 ℃(6.5-12.1 ℃). During the 3 months of summer (June to August), testicular torsion was observed in 2 patients (7.1%) when the median temperature was 21.8 ℃(19.0-26.5 ℃). Testicular torsion was observed in 4 patients (14.4%) during the 3 months of autumn (September to November) when the median temperature was 11.1 ℃(8.0-13.2 ℃). The incidence of testicular torsion in different seasons was significantly different (χ2=3.270, P=0.011). Pearson correlation analysis showed that the incidence of testicular torsion in adolescence was significantly negatively correlated with the season (winter)(r=-1.000, P=0.026). Conclusions Testicular torsion in
作者
郭祥
雷伟
李爽
陈海涛
郭晖
Guo Xiang;Lei Wei;Li Shuang;Chen Haitao;Guo Hui(Deparlrnenl of Urology,Wuhan Children's Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2019年第15期1179-1181,共3页
Chinese Journal of Applied Clinical Pediatrics
关键词
青春期
季节
睾丸扭转
低温
Adolescence
Season
Testicular torsion
Hypothermia
