Mitchell Katharina, Morley Chad, Barnard John
West Virginia University Department of Urology, 1 Medical Center Dr, Morgantown, WV, United States.
Front Urol. 2023 Jan 24;3:1105513. doi: 10.3389/fruro.2023.1105513. eCollection 2023.
While only 20% of the nation's population lives in rural areas, 40% of the Appalachian population resides in rural areas. Due to the rural nature of this region we hypothesized this may have implications regarding the outcomes of traumatic testicular injuries (TTI), such as increased rate of organ loss. Here in, we report the findings of our 10-year retrospective study analyzing patients presenting with TTI to our rural tertiary care facility in comparison to an 8-year review of 8,030 TTI from the National Trauma Data Bank (NTDB). Of the 34,000 trauma patients reviewed, 23 (0.07%) had TTI which concurs with the NTDB value of 0.2%. Blunt trauma accounted for 91.3% of TTI contrasting with NTDB data suggesting 50.5% attributable to penetrating mechanisms. Firearm related injuries comprised 4.3% of TTI, but 38.3% of NTDB's. Motor vehicle collision/motor cycle crash (MVC/MCC) accounted for 26.0%, similarly NTDB data showed 26.6%. Median length of stay (LOS) was 1 day, and 3 for NTDB. Scrotal exploration occurred in 90.4% of cases with 52.4% requiring orchiectomy, whereas NTDB data suggested 48.3% and 23.4% respectively. In conclusion, compared to the NTDB TTI data, Appalachia has a higher incidence of blunt mechanism, scrotal exploration rate, and testicular loss.
虽然该国只有20%的人口居住在农村地区，但阿巴拉契亚地区40%的人口居住在农村。由于该地区的农村性质，我们推测这可能对创伤性睾丸损伤（TTI）的结果产生影响，例如器官丧失率增加。在此，我们报告了我们为期10年的回顾性研究结果，该研究分析了在我们农村三级护理机构就诊的TTI患者，并与国家创伤数据库（NTDB）对8030例TTI进行的8年回顾进行了比较。在审查的34000例创伤患者中，23例（0.07%）患有TTI，这与NTDB的0.2%的值一致。钝器伤占TTI的91.3%，而NTDB的数据表明50.5%归因于穿透机制。与枪支相关的损伤占TTI的4.3%，但占NTDB的38.3%。机动车碰撞/摩托车事故（MVC/MCC）占26.0%，同样，NTDB的数据显示为26.6%。中位住院时间（LOS）为1天，NTDB为3天。90.4%的病例进行了阴囊探查，其中52.4%需要进行睾丸切除术，而NTDB的数据分别为48.3%和23.4%。总之，与NTDB的TTI数据相比，阿巴拉契亚地区钝器机制、阴囊探查率和睾丸丧失的发生率更高。
