Melekos M D, Asbach H W, Markou S A
Department of Urology, Patras University School of Medicine, Greece.
J Urol. 1988 May;139(5):1023-5. doi: 10.1016/s0022-5347(17)42756-x.
A review of 100 boys less than 15 years old who were hospitalized for an acute scrotum revealed that the most common causes of the disorder were testicular torsion, including torsion of the spermatic cord (42 per cent) and torsion of the appendages (32 per cent). The remaining 26 per cent of the cases were owing to idiopathic scrotal edema (8 per cent), epididymitis and orchitis (6 per cent each), and incarcerated hernia and acute hematocele (3 per cent each). The age distribution of these children was biphasic, with the highest frequency in newborns (with exclusively extravaginal torsion) and in boys 13 years old, whereas in boys with appendiceal torsion the single peak frequency was at age 10 years. While idiopathic scrotal edema occurred in children less than 7 years old and orchitis in patients more than 12 years old, epididymitis was observed in young boys and those of pubertal age.
对100名15岁以下因急性阴囊疾病住院的男孩进行的一项回顾显示，该疾病最常见的病因是睾丸扭转，包括精索扭转（42%）和附件扭转（32%）。其余26%的病例归因于特发性阴囊水肿（8%）、附睾炎和睾丸炎（各6%）以及嵌顿疝和急性阴囊血肿（各3%）。这些儿童的年龄分布呈双相性，新生儿（仅为鞘外扭转）和13岁男孩的发病率最高，而阑尾扭转的男孩发病频率单峰出现在10岁。特发性阴囊水肿发生在7岁以下儿童，睾丸炎发生在12岁以上患者，附睾炎则见于年幼男孩和青春期男孩。
