一例双侧产前睾丸扭转：超声特征、组织病理学发现及处理
A case of bilateral prenatal testicular torsion: Ultrasonographic features, histopathological findings and management.
作者信息
Arena F, Nicòtina P A, Scalfari G, Visalli C, Arena S, Zuccarello B, Romeo G
机构信息
Department of Medical and Surgical Sciences, U.O.C. di Chirurgia Pediatrica, Policlinico Universitario, Viale Gazzi, University of Messina, 98125 Italy.
出版信息
J Pediatr Urol. 2005 Oct;1(5):369-72. doi: 10.1016/j.jpurol.2005.03.001. Epub 2005 Apr 26.
OBJECTIVES
The aim of this study was to demonstrate the ultrasonographic features of prenatal bilateral torsion of the testis, and its histological correlation and management.
PATIENT
A newborn presented at delivery with both testes enlarged, swollen and tender. Prenatal ultrasound (US) showed enlarged, hyperechoic testes. Colour Doppler US examination was performed.
RESULTS
US revealed both testes to be heterogeneous. Colour Doppler US did not reveal any flow signal. On inguinal exploration both testes appeared necrotic. Histology showed recognizable seminiferous tubules and Leydig cells.
CONCLUSION
We believe that both testes should be left in situ after bilateral detorsion even if their macroscopic appearance is necrotic.
目的
本研究旨在展示产前双侧睾丸扭转的超声特征、其组织学相关性及处理方法。
患者
一名新生儿出生时双侧睾丸肿大、肿胀且触痛。产前超声（US）显示睾丸增大、回声增强。进行了彩色多普勒超声检查。
结果
超声显示双侧睾丸均不均匀。彩色多普勒超声未显示任何血流信号。腹股沟探查时双侧睾丸均呈坏死表现。组织学显示有可辨认的生精小管和睾丸间质细胞。
结论
我们认为双侧睾丸扭转复位后，即使其大体外观呈坏死表现，也应将双侧睾丸保留原位。
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