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[目的]探讨手术治疗急性附睾炎的临床疗效。[方法]对急性附睾炎患者采用手术治疗,并与采用非手术治疗的患者进行临床效果比较。[结果]手术组24例患者均疼痛在24h内全部缓解,且体温均在6d内降至正常,术后随访发现残留硬结2例,无1例复发,无1例出现睾丸萎缩,平均住院时间(8.5±3.2)d。非手术组24例患者中疼痛有11例患者在24～48h缓解,13例患者在48～72h缓解;14例患者的体温在6d内降至正常,7例患者的体温在10d内降至正常,3例患者的体温在14d内降至正常,术后随访发现残留硬结12例,复发8例,平均住院时间(17.9±4.2)d。经统计分析发现手术组患者的24h缓解率,6d内体温正常率均明显高于非手术组,而平均住院时间则明显低于非手术组,且差异具有统计学意义(P﹤0.05)。[结论]对于急性附睾炎的治疗应在患者出现症状出现疼痛难忍,犹如睾丸扭转,阴囊壁水肿等症状前进行手术,切开附睾和精索外膜减压,引流脓液。
[Objective] To investigate the clinical effect of surgical treatment of acute epididymitis. [Method] The surgical treatment of acute epididymitis patients and non-surgical treatment of patients with clinical results were compared. [Results] All the 24 patients in the operation group were relieved of pain within 24 hours, and the body temperature dropped to normal within 6 days. Two cases of residual induration were found after operation, none of them recurred. No case of testicular atrophy, average length of stay (8.5 ± 3.2) d. Among the 24 non-surgical patients, 11 were relieved at 24 to 48 hours and 13 to 48 to 72 hours post-operatively. Body temperature in 14 patients dropped to normal within 6 days and body temperature in 7 patients dropped to normal within 10 days The body temperature of 3 patients dropped to normal within 14 days. 12 cases of residual induration were found after follow-up. The recurrence rate was 8 and the average length of hospital stay was 17.9 ± 4.2 days. The statistical analysis showed that 24h remission rate and normal body temperature within 6d were significantly higher in the operation group than in the non-operation group, while the average hospital stay was significantly lower than the non-operation group (P <0.05). [Conclusion] The treatment of acute epididymitis should be performed in patients with symptoms of pain, such as testicular torsion, scrotum wall edema and other symptoms before surgery, cut the epididymis and spermatic cord, decompression, drainage of pus.