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外伤性脱位睾丸的病理变化

Pathological changes of traumatic dislocated testis.

作者信息

Hayami S, Ishigooka M, Suzuki Y, Sasagawa I, Nakada T, Mitobe K

机构信息

Department of Urology, Yamagata University, School of Medicine, Japan.

出版信息

Urol Int. 1996;56(2):129-32. doi: 10.1159/000282830.

Abstract

We present a 17-year-old patient with a right testicular dislocation. In this case, dislocated testis had been considered as hematoma and therefore remained untreated for 4 months. The patient underwent right orchiopexy 4 months after the injury. Intraoperative testicular biopsy revealed impaired spermatogenesis and existence of many alternative Sertoli cells, but no atrophy of seminiferous tubules. Six months after the operation, semen analysis of the patient revealed the deformity of most sperms. Eight months after the operation, rebiopsy of the right testis disclosed slight improvement in the spermatogenesis of the testis. Damage of the testis appears to be not severe in dislocation and may be recovered by repositioning.

摘要

我们报告一例17岁右睾丸脱位患者。在此病例中,脱位的睾丸曾被误诊为血肿,因此4个月未得到治疗。患者在受伤4个月后接受了右侧睾丸固定术。术中睾丸活检显示生精功能受损,存在许多替代支持细胞,但生精小管无萎缩。术后6个月,患者精液分析显示多数精子畸形。术后8个月,右侧睾丸再次活检显示睾丸生精功能略有改善。睾丸脱位时损伤似乎并不严重,通过复位可能恢复。

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