Burge D M
Br J Urol. 1987 Jan;59(1):70-3. doi: 10.1111/j.1464-410x.1987.tb04583.x.
Thirty neonates presented with signs of testicular ischaemia over a 20-year period. Eighteen children had primary exploration revealing extravaginal torsion (10), intravaginal torsion (3), infarction without torsion (2) and torsion of the appendix testis (1). The other two children had simple biopsy of necrotic testes. In two instances the testis was untwisted and retained but both subsequently atrophied. The remainder underwent orchiectomy. Twelve children did not have initial exploration and 11 of these had subsequent testicular atrophy. At contralateral testis fixation, performed in 17 cases, signs of contralateral involvement in the ischaemic process were found in seven, suggesting that the primary event in the condition is infarction, with torsion occurring secondarily.
在20年的时间里，有30名新生儿出现睾丸缺血的症状。18名儿童接受了初次探查，发现有睾丸外扭转（10例）、睾丸内扭转（3例）、无扭转的梗死（2例）和睾丸附件扭转（1例）。另外两名儿童对坏死睾丸进行了简单活检。有两例睾丸扭转被复位并保留，但随后均发生萎缩。其余患儿均接受了睾丸切除术。12名儿童未进行初次探查，其中11名随后出现睾丸萎缩。在17例进行对侧睾丸固定术的患儿中，有7例发现对侧睾丸有缺血过程受累的迹象，这表明该病的主要事件是梗死，扭转是继发的。
