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创伤性睾丸脱位:36例病例回顾

Traumatic testicular dislocation a review of 36 cases.

作者信息

Kochakarn W, Choonhaklai V, Hotrapawanond P, Muangman V

机构信息

Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Med Assoc Thai. 2000 Feb;83(2):208-12.

Abstract

We retrospectively reviewed 36 patients who were treated in our institutes with traumatic testicular dislocation from 1975 to 1997. The mean patient age was 25 years old (18-38). Average time to present at the emergency room was 1 hour (0.5-6). Bilateral dislocation was found in thirty cases and unilateral dislocation was found in six cases. The sites of dislocation included: 34 cases (64 testes) at superficial inguinal area, one case (one testis) at acetabular area, and one case (one testis) at the perineal area. Closed reduction under general anesthesia was successful in 14 cases, open reduction after failed closed reduction in 10 cases, open exploration and repaired testis with reposition in 11 cases and orchiectomy only in one case. The overall results after treatment showed the normal size and position of the testis.

摘要

我们回顾性研究了1975年至1997年在我们机构接受创伤性睾丸脱位治疗的36例患者。患者平均年龄为25岁(18 - 38岁)。平均急诊就诊时间为1小时(0.5 - 6小时)。发现双侧脱位30例,单侧脱位6例。脱位部位包括:腹股沟浅区34例(64个睾丸),髋臼区1例(1个睾丸),会阴区1例(1个睾丸)。全身麻醉下闭合复位成功14例,闭合复位失败后开放复位10例,开放探查并修复睾丸同时复位11例,仅1例行睾丸切除术。治疗后的总体结果显示睾丸大小和位置正常。

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