Nishimura K, Namba Y, Nozawa M, Sugao H, Oka T, Osafune M
Department of Urology, Minoh City Hospital.
Hinyokika Kiyo. 1996 Oct;42(10):723-7.
Surgical exploration was done on 50 patients with acute scrotum between June 1982 and October 1995. Of them, 24 (48%) had torsion of the spermatic cord, 9 (18%) had torsion of the appendage testis, 11 (22%) had intrascrotal hematoma, 4 (8%) had acute epididymitis, and 2 (4%) had bleeding of testicular tumor. The patients who had torsion of the spermatic cord were between 0 and 26 years of age (the mean: 14.6); 9 had torsion on the right side, and 15 on the left side. Infectious manifestations occurred in about 30%, and Prehn's sign developed in 37.5%. Of all cases, orchiopexy was performed in 10 cases and orchiectomy in 14. The testis was saved in 8 (88.9%) of the 9 patients who underwent surgery within 12 hours after onset. On the contrary, the testis was saved in only 2 (13.3%) of the 15 patients who underwent surgery more than 12 hours after onset. We concluded that early consultation, and exploration by a urologist are obligatory in the treatment of torsion of the spermatic cord.
1982年6月至1995年10月期间，对50例急性阴囊患者进行了手术探查。其中，24例（48%）为精索扭转，9例（18%）为睾丸附件扭转，11例（22%）为阴囊内血肿，4例（8%）为急性附睾炎，2例（4%）为睾丸肿瘤出血。精索扭转患者年龄在0至26岁之间（平均14.6岁）；右侧扭转9例，左侧扭转15例。约30%出现感染表现，37.5%出现普雷恩征。所有病例中，10例行睾丸固定术，14例行睾丸切除术。发病后12小时内接受手术的9例患者中，8例（88.9%）睾丸得以保留。相反，发病后12小时以上接受手术的15例患者中，仅2例（13.3%）睾丸得以保留。我们得出结论，在精索扭转的治疗中，早期咨询和由泌尿科医生进行探查是必不可少的。
