Ruiz Montes A M, Jiménez Alvarez C, Núñez Núñez R, Cabrera R, Blesa Sánchez E
Hospital General Especialidades Virgen de las Nieves, Granada.
Cir Pediatr. 1994 Jul;7(3):140-2.
With the aim of describe a typology that will result in a more precise diagnostic which in turn will permit the selection of the most direct method approach, an analysis was made of the clinical characteristics of patients we treated due to the presence of torsion of the testicular and epididymal appendages. A retrospective review was made of 91 patients, taking into account this age, time of appearance, time of evolution, symptoms, physical examination, histological study and effects. The average age was 9.47 years with a greater incidence occurring between the eight and twelve years old. No influence due to a seasonal phase was detected. The time span between the initial appearance of the symptoms and the time of admittance was 39.5 hours, being somewhat less in patients below the age of six. The common symptom was pain. In addition, 58.2% of the patients also suffered scrotal affectation. In 31 patients the hydatid was palpable and in 19 the "blue dot sign" rendered positive. In 83 cases, surgery was done via the scrotum, resulting in the confirmation of the initial diagnosis. The affectation of the left side was more frequent (62.5%). The hospital discharge was possible in less than 48 hours with no visible long-term effects. Thus, we believe that it is possible to almost always make a diagnosis based on the clinical data, and the type of treatment to be applied should be the extirpation of the hydatid to be carried out via the scrotum.
为了描述一种能带来更精确诊断从而允许选择最直接方法的类型学，我们对因睾丸和附睾附件扭转而接受治疗的患者的临床特征进行了分析。对91例患者进行了回顾性研究，考虑了他们的年龄、症状出现时间、病情发展时间、症状、体格检查、组织学研究及疗效。平均年龄为9.47岁，8至12岁的发病率更高。未发现季节阶段有影响。症状初次出现到入院的时间跨度为39.5小时，6岁以下患者的时间稍短。常见症状是疼痛。此外，58.2%的患者还出现阴囊受累。31例患者可触及包虫，19例“蓝点征”呈阳性。83例患者通过阴囊进行了手术，证实了初步诊断。左侧受累更为常见（62.5%）。患者可在48小时内出院，无明显长期影响。因此，我们认为几乎总是可以根据临床数据做出诊断，应采用的治疗方式是通过阴囊切除包虫。
