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[睾丸扭转患者的预防性对侧睾丸固定术]

[Prophylactic contralateral orchiopexy in patients with testicular torsion].

作者信息

Nielsen T G, Holm M, Meyhoff H H

机构信息

Organkirurgisk afdeling A, Hillerød Sygehus.

出版信息

Ugeskr Laeger. 1999 Aug 30;161(35):4880-2.

Abstract

The aim of the study was to examine the recommendations for prophylactic contralateral orchiopexy in patients presenting with unilateral testicular torsion in Denmark. A questionnaire was mailed to the 61 surgical departments treating acute urological patients. Prophylactic contralateral orchiopexy was performed in 60 of the 61 departments. Twenty-eight departments routinely performed a combined ipsilateral and contralateral operation. In 20 departments the contralateral procedure was performed immediately in the case of a vital ipsilateral testis, but delayed a median of five (3-12) weeks in the case of a necrotic testis. In seven departments the contralateral orchiopexy was routinely performed a median of 10 (2-12) weeks after the ipsilateral operation, and in the remaining five departments the time of the contralateral procedure was determined by the surgeon. In conclusion prophylactic contralateral orchiopexy was widely used in patients with unilateral testicular torsion, but the timing of the procedure varied.

摘要

本研究旨在调查丹麦单侧睾丸扭转患者预防性对侧睾丸固定术的相关建议。向61个治疗急性泌尿系统疾病患者的外科科室邮寄了一份调查问卷。61个科室中有60个进行了预防性对侧睾丸固定术。28个科室常规进行同侧和对侧联合手术。20个科室在同侧睾丸存活的情况下立即进行对侧手术,但在同侧睾丸坏死的情况下,手术延迟的中位数为5(3 - 12)周。7个科室常规在同侧手术后中位数为10(2 - 12)周进行对侧睾丸固定术,其余5个科室对侧手术的时间由外科医生决定。总之,预防性对侧睾丸固定术在单侧睾丸扭转患者中广泛应用,但手术时机各不相同。

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