Wei Yongbao, Yang Jinrui, Hong Huaishan, Gao Yunliang, Wu Jinfeng, Wu Xiang, Zhang Ruochen, Lin Le, Li Tao, Yang Fengguang, Ye Liefu, Zhu Qingguo
Shengli Clinical Medical College of Fujian Medical University.
Department of Urology, Fujian Provincial Hospital, Fuzhou.
Medicine (Baltimore). 2019 Oct;98(41):e17389. doi: 10.1097/MD.0000000000017389.
To examine whether scrotoscopy could be used to diagnose testicular rupture (TR) with accuracy.This retrospective study included all patients receiving scrotoscopy followed by immediate open exploration (OE) for suspected TR at two Chinese tertiary care centers between March 2014 and March 2018.Fifteen patients suspected of having TR were included. TR was considered in 8 patients (8/15) via emergency scrotal ultrasound (ESU) examination. Of these 8 patients, 6 cases as well as 3 other cases, a total of 9 cases (9/15) were confirmed TR by scrotoscopy and OE; the remaining 6 patients (6/15) were found disease free. The presence/absence of TR was identified correctly with scrotoscopy in all 15 cases. The rupture size of the testicular tunica albuginea (TTA) varied from 0.5 to 2 cm. Only 3 cases (3/15) had scrotal wall edema and all quickly recovered. The testis was normal in size and blood flow at 6-month follow-up visit.Scrotoscopy accurately diagnoses TR, and may avoid unnecessary OE, especially for the patients confirmed free of disease.
为了检验阴囊镜检查能否准确诊断睾丸破裂（TR）。这项回顾性研究纳入了2014年3月至2018年3月期间在中国两家三级医疗中心因疑似TR接受阴囊镜检查并随后立即进行开放探查（OE）的所有患者。纳入了15例疑似TR的患者。通过急诊阴囊超声（ESU）检查，8例患者（8/15）被怀疑患有TR。在这8例患者中，6例以及另外3例，总共9例患者（9/15）通过阴囊镜检查和OE被确诊为TR；其余6例患者（6/15）未发现疾病。15例患者中，阴囊镜检查均正确识别了是否存在TR。睾丸白膜（TTA）的破裂大小在0.5至2厘米之间。仅3例患者（3/15）出现阴囊壁水肿，且均迅速恢复。在6个月的随访中，睾丸大小和血流正常。阴囊镜检查能准确诊断TR，并且可以避免不必要的OE，尤其是对于确诊无疾病的患者。
