Van Glabeke E, Khairouni A, Larroquet M, Audry G, Gruner M
Service de Chirurgie Viscérale Infantile et Néonatale, Hôpital d'Enfants Armand-Trousseau, Paris, 26, avenue du Dr Arnold Netter 75571 Paris Cedex 12, France.
Pediatr Surg Int. 1999 Jul;15(5-6):353-7. doi: 10.1007/s003830050598.
A total of 543 boys suffering from acute scrotal pain underwent emergency surgery between 1986 and 1996. Of these, 91 had a testicular torsion (TT) (16.8%) and 250 had an appendage torsion (AT) (46%). The cause varied with patient age, with most TTs in newborns and boys of 15 years and most ATs in 10-11-year-olds; 21.5% were operated upon within 6 h of the onset of pain and 69.2% within 24 h. Most stayed in hospital for less than 24 h. Pre-surgical examination identified no criterion for excluding TT. We therefore believe that all children complaining of acute scrotal pain should undergo surgery. As release of an inflamed AT reduces pain, three-fourths of the children benefited directly from surgery.
1986年至1996年间，共有543名患有急性阴囊疼痛的男孩接受了急诊手术。其中，91例为睾丸扭转（TT）（16.8%），250例为附件扭转（AT）（46%）。病因随患者年龄而异，大多数睾丸扭转发生在新生儿和15岁的男孩中，大多数附件扭转发生在10 - 11岁的儿童中；21.5%在疼痛发作后6小时内接受手术，69.2%在24小时内接受手术。大多数患者住院时间少于24小时。术前检查未发现排除睾丸扭转的标准。因此，我们认为所有主诉急性阴囊疼痛的儿童都应接受手术。由于炎症性附件扭转的解除可减轻疼痛，四分之三的儿童直接从手术中受益。
