López Pacios J C, Parra Muntaner L, Piñeiro Fernández M C, Gómez Cisneros S C, Sánchez Sánchez E, Rivas Escudero J A, Madrid García F J, García Alonso J
Servicio de Urgencias, Hospital del Bierzo, Ponferrada, León, España.
Arch Esp Urol. 1998 May;51(4):331-3.
To determine the incidence of mumps orchitis in young males in the area of El Bierzo (Ponferrada, Spain) and the complications arising from this condition.
The cases of mumps orchitis referred by the primary care services to the emergency services of Hospital del Bierzo referral center were reviewed. We analyzed patient age, unilateral or bilateral testicular involvement, whether the patients had been vaccinated against mumps and the changes observed in the semen analysis.
The diagnosis of mumps orchitis was confirmed in 8 patients, aged 15 to 19 years. Two patients had bilateral testicular involvement. Seven patients had not been vaccinated against parotiditis. Three patients had oligoasthenospermia and are currently being followed at the Urology services.
The utility of large scale vaccination against mumps is emphasized. Long-term follow-up is recommended for all patients with abnormal semen analysis, particularly those with bilateral testicular involvement, since they may develop oligoasthernospermia several years after the infection or improve with item. A high incidence of mumps orchitis was found for this 12-month study period.
确定比埃尔索地区（西班牙蓬费拉达）年轻男性流行性腮腺炎性睾丸炎的发病率以及该疾病引发的并发症。
回顾了初级保健服务机构转诊至比埃尔索医院转诊中心急诊服务的流行性腮腺炎性睾丸炎病例。我们分析了患者年龄、单侧或双侧睾丸受累情况、患者是否接种过腮腺炎疫苗以及精液分析中观察到的变化。
确诊8例流行性腮腺炎性睾丸炎患者，年龄在15至19岁之间。2例患者双侧睾丸受累。7例患者未接种过腮腺炎疫苗。3例患者存在少弱精子症，目前正在泌尿外科接受随访。
强调了大规模接种腮腺炎疫苗的作用。建议对所有精液分析异常的患者进行长期随访，尤其是双侧睾丸受累的患者，因为他们可能在感染数年之后出现少弱精子症或症状有所改善。在这12个月的研究期间发现流行性腮腺炎性睾丸炎的发病率较高。
