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男患者,24岁,病案号62095.因左侧阴囊上方硬性结节伴胀痛一月于1982年1月28日入院.先后二次有会阴部碰伤史.检查:阴囊对称,精索静脉无曲张,睾丸及附睾无肿大,无触痛,左侧阴囊前侧上方可触及似花生米大小结节,质硬,明显触痛,可随精索上下移动,与皮肤无粘连,透光试验阴性.初诊:左侧阴囊上方精索结节(待查).于1月30日在局麻下行左阴囊前侧上方纵行切口;见位于精索上前侧距附睾6厘米处有0.8×0.7厘米大小椭圆形硬性结节,与精索紧密粘连,采用钝性剥离:沿结节的两侧开始:一一剥离粘连处,游离出输精管,发现此结节就是输精管,盘曲约360°,粘连呈团状,给予剥离松解后长约5厘米,按解剖位置复原.
Male patient, 24 years old, medical record number 62095. Due to the top of the left scrotum with hard nodules with pain January January 1982, admitted to the hospital on January 28, 1982. Has a second episode of perineal bumps. Check: scrotal symmetry, spermatic vein No varicose, testicular and epididymis without swelling, no tenderness, the top of the left side of the scrotum can reach above the peanut-size nodules, hard, obvious tenderness, can move up and down with the spermatic cord, without adhesion with the skin, Test negative .New diagnosis: the top of the left scrotum spermatic nodules (to be investigated.) On January 30 at the local anesthesia down the left front of the left scrotum longitudinal incision; see the front side of the spermatic cord 6 cm from the epididymis 0.8 × 0.7 cm Oval hard nodules, close adhesion with the spermatic cord, the use of blunt dissection: along the nodules on both sides began: one by one peel adhesions, free vasectomy and found that this nodule is the vas deferens, disk about 360 ° , Adhesions was clumpy, give peel loosen about 5 cm, according to anatomical location recovery.