论文部分内容阅读
目的探讨睾丸破裂的诊治及预后。方法睾丸破裂16例,通过病史、体检,11例通过彩超确诊,3例彩超检查后可疑破裂进一步行CT扫描确诊,另有两例通过手术探查确诊。全部予以手术治疗,13例行睾丸修补,3例行睾丸切除。结果无严重并发症及死亡病例发生,随访10个月～4年,其中有2例单侧损伤病人行睾丸修补后出现双侧睾丸萎缩,一例单侧切除后对侧发生萎缩,一例双侧严重损伤的病人生殖功能明显下降,但所有病人雄激素水平基本正常。结论彩超及CT检查是判断睾丸损伤程度及病情变化的重要方法,积极早期手术探查可最大限度保留睾丸组织,减少并发症发生。
Objective To investigate the diagnosis and treatment of testicular rupture. Methods Twenty-six cases of testicular rupture were diagnosed by medical history, physical examination and 11 cases by color Doppler ultrasonography. Three cases were diagnosed by suspicious rupture of CT scan after CT scan. Two cases were diagnosed by surgical exploration. All were surgical treatment, 13 cases of testicular repair, 3 cases of orchiectomy. Results No serious complications and deaths were observed. The patients were followed up for 10 months to 4 years. Two cases of unilateral lesion underwent bilateral testicular atrophy after testicular repair, contralateral contractions occurred after unilateral excision, Reproductive function of injured patients decreased significantly, but the level of androgen in all patients was basically normal. Conclusion Color Doppler ultrasonography and CT examination are important methods to determine the degree of testicular injury and changes of the disease. Positive early surgical exploration can preserve testicular tissue to the maximum extent and reduce the incidence of complications.