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目的:探讨小儿阴囊急症的鉴别诊断及治疗。方法:回顾性分析近5年收治的小儿阴囊急症病例资料。结果:62例阴囊急症中睾丸附件扭转48例,睾丸附睾炎10例,睾丸扭转5例,其他3例。附件扭转以4～12岁居多,其阴囊肿痛程度较睾丸附睾炎为轻;在睾丸附件扭转中蓝斑征12例,痛性结节28例,超声检查附件检出为59例。睾丸附睾炎好发于6岁内,可双侧发病或反复发作。睾丸扭转超声检查显示睾丸无血流信号。结论:小儿阴囊急症以睾丸附件扭转最常见,睾丸扭转发病最急。病史、体征及超声检查有助于鉴别诊断,超声检查是鉴别阴囊急症的首选方法,只要睾丸附件扭转诊断明确可保守治疗。
Objective: To investigate the differential diagnosis and treatment of children’s scrotal emergency. Methods: A retrospective analysis of pediatric cases of scrotal shunt admitted in the past 5 years. Results: 62 cases of scrotum emergency testicular appendages reversed in 48 cases, testicular epididymitis in 10 cases, testicular torsion in 5 cases, the other 3 cases. Attachment to the majority of 4 to 12 years of age, the degree of swelling of the scrotum than the testicular epididymitis is light; in the testicular torsion in the blue stain in 12 cases, 28 cases of painful nodules, ultrasound examination of attachment was detected in 59 cases. Testicular epididymitis occur in 6 years old, bilateral onset or recurrent. Testicular torsion ultrasound examination showed no signal of blood flow. Conclusion: It is most common in children with scrotum emergency to reverse testicular appendages, and testicular torsion is the most urgent. Medical history, signs and ultrasound help to differentiate the diagnosis. Ultrasonography is the first choice to identify the emergency of scrotum. As long as the diagnosis of torsion of testis is clear, it can be treated conservatively.