Soh Shigehiro, Shimazaki Mutsuhisa
Department of Urology, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555.
Masui. 2012 Sep;61(9):973-80; discussion 980.
The onset of the pain, tenderness and swelling in the scrotal content is a common complaint in the urological outpatient. A child with those symptoms should be looked on as an emergency sign requiring emergency surgical exploration as a testicular torsion. Testicular torsion represents a surgical emergency because the likelihood of testicular salvage diminishes with the duration of torsion. Therefore, we must act quickly to identify this condition in any patient who presents with an acute scrotum. The history, physical examination and patient age can provide important clues as to the exact cause of acute scrotal pain. Age is a key factor since many conditions responsible for acute scrotum commonly occur in certain age groups. Moreover, imaging is used more routinely to identify accurate diagnosis.
阴囊内容物出现疼痛、压痛和肿胀是泌尿外科门诊常见的主诉。出现这些症状的儿童应被视为需要紧急手术探查的紧急体征，如睾丸扭转。睾丸扭转是一种外科急症，因为随着扭转时间的延长，挽救睾丸的可能性会降低。因此，对于任何出现急性阴囊的患者，我们必须迅速采取行动以识别这种情况。病史、体格检查和患者年龄可为急性阴囊疼痛的确切病因提供重要线索。年龄是一个关键因素，因为许多导致急性阴囊的病症通常发生在特定年龄组。此外，影像学检查更常用于明确准确诊断。
