Witherington R
Postgrad Med. 1987 Jul;82(1):207-16. doi: 10.1080/00325481.1987.11699909.
An "acute" scrotum may result from an interesting and fairly predictable array of diseases. A good history and physical examination remain paramount in evaluation. Scrotal ultrasonography and testicular radionuclide scanning are important additions to our diagnostic armamentarium and should be used whenever possible. Unfortunately, the equipment and expertise needed to perform these useful examinations are not always readily available. If these tests cannot be done promptly and rapidly, treatment should be instituted without delay. Most lesions that cause an acute scrotum should be treated expeditiously, since careful treatment can greatly reduce patient discomfort, morbidity, and even mortality. Additionally, testicular salvage often depends on early and appropriate management.
“急性”阴囊可能由一系列有趣且相当可预测的疾病引起。详尽的病史和体格检查在评估中仍然至关重要。阴囊超声检查和睾丸放射性核素扫描是我们诊断手段的重要补充,应尽可能使用。不幸的是,进行这些有用检查所需的设备和专业知识并不总是 readily available。如果这些检查不能迅速完成,应立即进行治疗。大多数导致急性阴囊的病变都应迅速治疗,因为精心治疗可大大减轻患者的不适、发病率,甚至死亡率。此外,睾丸挽救通常取决于早期和适当的处理。