Kratzik C, Hainz A, Kuber W, Donner G, Lunglmayr G, Frick J, Schmoller H J
Department of Urology, University of Vienna Medical School, Salzburg, Austria.
J Urol. 1989 Nov;142(5):1243-6. doi: 10.1016/s0022-5347(17)39046-8.
We present the ultrasonic diagnoses and treatment of 44 patients with blunt scrotal trauma (rupture of the testis, hematocele, intratesticular hematoma and hematoma of the scrotal layers). Purely intratesticular hematoma without any other accompanying injury also can be detected sonographically. When massive scrotal swelling is present ultrasound is valuable to determine the status of the underlying testis even if discrete fracture planes of the tunica cannot always be detected. To achieve best long-term results early surgical intervention should be performed in cases of rupture of the testicle and hematocele, while hematoma of the scrotal layers and purely intratesticular hematoma can be treated conservatively.
我们介绍了44例钝性阴囊创伤（睾丸破裂、血囊肿、睾丸内血肿和阴囊层血肿）患者的超声诊断及治疗情况。单纯性睾丸内血肿且无其他伴随损伤时，超声检查也可发现。当阴囊出现明显肿胀时，即使不能总是检测到白膜的离散骨折平面，超声对于确定睾丸的潜在状态也很有价值。为获得最佳长期效果，对于睾丸破裂和血囊肿病例应尽早进行手术干预，而阴囊层血肿和单纯性睾丸内血肿可采用保守治疗。
