Sultanov S
Khirurgiia (Sofiia). 1991;44(6):38-41.
Testicular trauma is not uncommon. Apart from accidental trauma it may deliberately be inflicted during fight by striking blows in the scrotal area. The most common posttraumatic complications are hematoma, hydrocele and hematocele, orchiepididymitis and occasionally malignant degeneration of the injured testis. Unless diagnosed and treated in time, these complications lead to hypoplasia and atrophy of the testes, the far-reaching result being sterility. Fifteen patients 17 to 40 years of age, undergone testicular trauma, comprise the study group. In 8 patients no changes were recorded. In the other group of 7 patients 1 had hematoma, 4 hydrocele, 1 orchiepididymitis and 1 (six months after the trauma)--tumor of the testis--teratocarcinoma. It is concluded that gamma-camera scintigraphy of the testis is a quick and exact method, which furnishes ample information on the complications following testicular trauma thus tracing a correct approach to treatment.
睾丸创伤并不罕见。除了意外创伤外,在打架时故意击打阴囊区域也可能导致创伤。最常见的创伤后并发症是血肿、鞘膜积液和血囊肿、睾丸附睾炎,偶尔还有受伤睾丸的恶性变。除非及时诊断和治疗,这些并发症会导致睾丸发育不全和萎缩,最终结果是不育。研究组由15名年龄在17至40岁之间经历过睾丸创伤的患者组成。8名患者未记录到变化。在另一组7名患者中,1名有血肿,4名有鞘膜积液,1名有睾丸附睾炎,1名(创伤后6个月)——睾丸肿瘤——畸胎癌。结论是,睾丸γ相机闪烁扫描是一种快速准确的方法,能提供关于睾丸创伤后并发症的充分信息,从而为治疗找到正确的方法。