Kaver I, Matzkin H, Braf Z F
Department of Urology, Tel-Aviv Medical Center, Ichilov Hospital, Tel-Aviv, Israel.
J Fam Pract. 1990 May;30(5):548-52.
One hundred twenty-one patients with acute epididymitis or epididymo-orchitis were evaluated retrospectively according to their clinical symptoms, duration of symptoms, physical examination, and laboratory studies. The patients younger than 30 years of age usually showed less severity of symptoms than the patients older than 50 years of age. The latter often demonstrated evidence of outflow obstruction. Eighty-two percent of patients with demonstrated urographic abnormalities had lower tract abnormalities, mainly secondary to outflow obstruction. All of these patients were older than 50 years of age. An intravenous pyelogram is indicated only in patients over 50 years of age and in young adults with positive bacteriologic urine culture.
对121例急性附睾炎或附睾睾丸炎患者，根据其临床症状、症状持续时间、体格检查及实验室检查进行回顾性评估。年龄小于30岁的患者症状严重程度通常低于年龄大于50岁的患者。后者常显示有流出道梗阻的证据。尿路造影异常的患者中，82%存在下尿路异常，主要继发于流出道梗阻。所有这些患者年龄均大于50岁。静脉肾盂造影仅适用于年龄大于50岁的患者以及尿细菌培养阳性的年轻成人。
