Deng Tao, Zhang Xuan, Wang Guanghuan, Duan Shouxing, Fu Maxian, Zhong Jun, Li Jianhong, Jiang Xuewu
Department of Pediatric Surgery, Woman's and Children's Hospital, Shenzhen University and Pingshan District, Shenzhen, China.
Department of Pediatric Surgery, Woman's and Children's Hospital, Shenzhen University and Pingshan District, Shenzhen,
Urol Int. 2019;102(1):113-117. doi: 10.1159/000493766. Epub 2018 Oct 26.
To investigate the clinical features, diagnosis, treatment and prognosis of children with cryptorchidism complicated by testicular torsion.
The clinical data of 6 children with cryptorchidism complicated by testicular torsion admitted to our hospital from December 2000 to December 2016 were analyzed retrospectively.
All 6 children were diagnosed with cryptorchidism by surgery, their age was from 12 days up to 11 years, and the average time between onset of symptoms and diagnosis was 20.5 h. Torsion testis was located in the groin area and the rate of left to right was about 2:1. Twist was 600° on average. All children were admitted because of the inconsolable cry, abdominal pain, and the swelling of the groin. Three patients underwent orchidectomy, while the other 3 patients underwent detorsion and cryptorchidopexy. Color Doppler ultrasound examination showed normal testes at 6 months after operation. Only 1 case was diagnosed with cryptorchidism after birth.
Cryptorchidism is an emergency in pediatric urology and often leads to a low testicular salvage rate, especially in infants, due to lack of knowledge, delayed diagnosis, and late treatment. Neonatal genital examination is important for the early diagnosis and management of cryptorchidism.
探讨隐睾合并睾丸扭转患儿的临床特征、诊断、治疗及预后。
回顾性分析2000年12月至2016年12月我院收治的6例隐睾合并睾丸扭转患儿的临床资料。
6例患儿均经手术确诊为隐睾，年龄12天至11岁，症状出现至确诊的平均时间为20.5小时。扭转睾丸位于腹股沟区，左右比例约为2:1。平均扭转600°。所有患儿均因哭闹不止、腹痛及腹股沟肿胀入院。3例行睾丸切除术，另3例行扭转复位及隐睾固定术。术后6个月彩色多普勒超声检查显示睾丸正常。出生后仅1例确诊为隐睾。
隐睾是小儿泌尿外科的急症，由于认识不足、诊断延误及治疗不及时，常导致睾丸挽救率低，尤其是婴儿。新生儿生殖器检查对隐睾的早期诊断和处理很重要。
