Barthélémy Y, Delmas V, Villers A, Baron J C, Sibert A, Boccon-Gibod L
Clinique Urologique, Hôpital Bichat, Paris.
Prog Urol. 1992 Aug-Sep;2(4):628-34.
We report a serial case study of 33 patients from May 1980 to November 1990 presenting a scrotal contusion. In 2/3 of cases, the physical examination showed a scrotal oedema or an hematocele. Ultrasonography showed a testicular injury while clinical examination was subnormal in 2 patients. In the other cases, ultrasonography showed an hematocele without asserting in all cases the traumatic rupture of the tunica albuginea. 27 patients have been surgically explored: 14 ruptures of the testicle, 3 intratesticular haematoma, 3 scrotal open traumatic injuries, and 7 extratesticular haematoma. Only 3 orchidectomies were required for the 6 patients who have not been explored surgically, the testis was normal at one month. The follow-up of these young patients is difficult, 11 had been seen again at 1 month. At long term follow-up, three patients had been seen at 1, 3 or 6 years without testicular after-effects.
我们报告了1980年5月至1990年11月期间33例阴囊挫伤患者的系列病例研究。在2/3的病例中，体格检查显示阴囊水肿或血肿。超声检查显示睾丸损伤，而2例患者的临床检查结果正常。在其他病例中，超声检查显示有血肿，但并非所有病例都能确定白膜有外伤性破裂。27例患者接受了手术探查：14例睾丸破裂，3例睾丸内血肿，3例阴囊开放性外伤，7例睾丸外血肿。对于6例未接受手术探查的患者，仅3例需要进行睾丸切除术，术后1个月睾丸正常。对这些年轻患者进行随访很困难，11例在1个月时再次接受检查。在长期随访中，3例患者在1年、3年或6年时接受检查，未出现睾丸后遗症。
