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目的:探讨小儿非外伤性阴囊急症的早期诊断与治疗方法。方法:回顾性总结56例小儿非外伤性阴囊急症患者的临床特点,结合文献进行分析。结果:急性附睾睾丸炎13例(23%),手术治疗3例,非手术治疗10例。睾丸附件扭转20例(36%),手术治疗18例,非手术治疗2例。睾丸扭转23例(41%),23例均行手术治疗,睾丸切除10例。42例患者得到随访,睾丸萎缩5例。结论:阴囊急症对男性健康危害大,小儿阴囊急症鉴别诊断困难,易误诊,早期准确诊断十分重要,当诊断或疑有睾丸扭转者应积极手术探查。
Objective: To explore the early diagnosis and treatment of non-traumatic scrotal emergency in children. Methods: The clinical features of 56 children with non-traumatic scrotal emergency were retrospectively reviewed and analyzed in combination with the literature. Results: Acute epididymo-orchitis in 13 cases (23%), surgical treatment in 3 cases, non-surgical treatment in 10 cases. Testicular attachment was reversed in 20 cases (36%), surgical treatment in 18 cases, non-surgical treatment in 2 cases. Testicular torsion in 23 cases (41%), 23 cases underwent surgical treatment of orchidectomy in 10 cases. 42 patients were followed up, 5 cases of testicular atrophy. Conclusion: Scrotal emergency is harmful to male health. Difficult diagnosis of scrotal emergency in children is difficult. Misdiagnosis and early diagnosis are very important. When diagnosis or suspected testicular torsion should be actively explored.