Cumming D C, Hyndman C W, Deacon J S
Urology. 1979 Dec;14(6):603-4. doi: 10.1016/0090-4295(79)90534-x.
A case of intrauterine testicular torison and infarction is described. Urgent exploration of the testis has been advocated in the management of this condition. However, the risks of early anesthesia in the immediate postdelivery period must be weighed against the chances of a successful outcome of the operation in preserving testicular function. Since this salvage rate is poor, we suggest surgical exploration at a time when the infant's condition is stable, unless there are indications that the event is very recent.
本文描述了一例宫内睾丸扭转及梗死的病例。对于这种情况的处理,一直主张对睾丸进行紧急探查。然而,必须权衡产后即刻进行早期麻醉的风险与手术成功保留睾丸功能的可能性。由于这种挽救率较低,我们建议在婴儿病情稳定时进行手术探查,除非有迹象表明该事件发生时间很近。