Suzuki K, Inaba S, Takeuchi H
Department of Urology, Syakaihoken Mishima Hospital.
Hinyokika Kiyo. 1991 Oct;37(10):1287-91.
Between April 1986 and July 1990, we experienced 13 cases of acute scrotum with surgical exploration. Six of the patients had torsion of the spermatic cord; three had torsion of an appendix of the epididymis, one had torsion of a testicular appendix, one had testicular rupture, one had acute epididymitis and one was normal. Their ages ranged from 3 months to 55 years (mean: 17.7 years), and the patients with torsion of the spermatic cord ranged from 5 to 25 years in age (mean: 16.3 years). No specific symptoms, signs, or laboratory findings were noted in patients with torsion of the spermatic cord. In the majority of cases, scrotal swelling and redness of the scrotal skin were present, and we could not distinguish parts of the scrotal contents. From 2 to 92 hours had passed before the patients presented, and patients who first attended other clinics tended to be treated in an inappropriate manner. Orchidopexy was performed in all patients with torsion of the spermatic cord. At present, only one testis which was treated after a delay of 92 hours has proven to be atrophic. Early consultation of a urological clinic and early surgical exploration are important in the treatment of the acute scrotum.
1986年4月至1990年7月期间，我们对13例急性阴囊患者进行了手术探查。其中6例为精索扭转；3例为附睾附件扭转，1例为睾丸附件扭转，1例为睾丸破裂，1例为急性附睾炎，1例正常。患者年龄从3个月至55岁不等（平均：17.7岁），精索扭转患者年龄在5至25岁之间（平均：16.3岁）。精索扭转患者未发现特定症状、体征或实验室检查结果。大多数病例中，阴囊出现肿胀和阴囊皮肤发红，我们无法区分阴囊内容物的各个部分。患者就诊前已过去2至92小时，最初前往其他诊所就诊的患者往往接受了不恰当的治疗。所有精索扭转患者均进行了睾丸固定术。目前，只有1例在延迟92小时后接受治疗的睾丸已证实萎缩。早期咨询泌尿外科诊所并尽早进行手术探查对急性阴囊的治疗很重要。
