摘要
目的探讨新生儿睾丸扭转临床特点及诊治方法。方法回顾性分析我院近5年收治的8例睾丸扭转新生儿的临床资料并复习相关文献。结果新生儿睾丸扭转共8例;年龄7h～8d;左侧3例,右侧5例;入院查体均发现阴囊肿大呈暗红色或黑紫色,内可及质硬包块,触痛阳性;超声检查示患睾增大、密度不均、血流信号减少或消失;均行阴囊探查术,术中均发现精索睾丸扭转并已坏死,7例行患睾切除;病理结果示睾丸大片出血坏死,5例择期行对侧睾丸固定术。所有患儿随诊3～12月,1例家长拒绝切除患睾的患儿3月时B超复查已经萎缩,超声检查均未发现对侧睾丸异常。结论新生儿睾丸扭转的睾丸坏死率极高;当发现新生儿阴囊色泽改变、肿大触痛等改变,在不能除外睾丸扭转时应尽早行阴囊探查术。
Objective To investigate the clinical features,diagnosis and treatment of neonatal testicular torsion. Methods The clinical features, ultrasound examination results,pathological findings, treatment, and follow-up results of neonatal testicular torsion treated in our hospital during the past 5 years were retrospectively analyzed and the literature was reviewed. Results A total of 8 cases of neonatal testicular torsion was collected （age 7 h-8 d; left side 3,right side 5）. All patients presented swollen dark red or dark purple scrotum,in which hard mass with tenderness was detected. Ultrasound examination showed enlarged heterogeneous testis,with blood flow decreased or disappeared. Scrotal exploration revealed spermatic cord torsion and testis necrosis. Pathological examinations showed bleeding and necrosis in a large area. 7 cases received orchiectomy,5 of which underwent orchiopexy of the contralateral testis 2--4 weeks later. The 1 case whose parents refused to remove the testis developed testicular atrophy 3 months later： All contralateral testes were normal during the follow-up of 3--12 months. Gonclusions The incidence of testicular necrosis is high in neonatal testicular torsion. When neonatal scrotum presents swelling,tenderness or color change, scrotal surgical exploration should be performed as early as possible to eliminate the possibility of testicular torsion.
出处
《现代泌尿外科杂志》
CAS
2012年第5期501-503,共3页
Journal of Modern Urology
关键词
睾丸扭转
新生儿
阴囊探查
睾丸切除
testicular torsion
newborn
scrotal exploration
orchiectomy
