Holland J M, Graham J B, Ignatoff J M
J Urol. 1981 Feb;125(2):213-4. doi: 10.1016/s0022-5347(17)54975-7.
We planned non-operative treatment of a twisted intrascrotal appendage in 23 consecutive patients, ranging in age from 6 to 45 years, in whom the diagnosis could be made confidently. Only 3 patients have required subsequent removal of the infarcted appendage because of persistent or recurrent pain. The remaining patients became free of pain within a week. Prompt surgical exploration to exclude torsion of the spermatic cord remains necessary if scrotal swelling obscures the diagnosis. At operation for the latter indication 5 additional boys were found to have a twisted appendix testis during the study interval.
我们计划对23例年龄在6至45岁之间、诊断明确的阴囊内附件扭转患者进行非手术治疗。只有3例患者因持续或反复疼痛而需要随后切除梗死的附件。其余患者在一周内疼痛消失。如果阴囊肿胀使诊断不明确，仍有必要迅速进行手术探查以排除精索扭转。在研究期间，因后一种情况进行手术时，又发现5名男孩患有睾丸附件扭转。
