睾丸损伤31例报告

Testicular Injuries: Report of 31 Cases

目的:报告我院收治的31例32个睾丸损伤,总结诊治经验.方法:在31例睾丸损伤中,闭合性损伤26例,开放性损伤5例.保守治疗9例(其中2例改为手术治疗),直接手术治疗22例.结果:随访25例(26个睾丸),其中保守治疗9例,手术治疗16例.随访时间7个月～9年.保守治疗组和手术组各有2例睾丸萎缩;无1例睾丸硬化和慢性疼痛.结论:对任何阴囊、会阴外伤均应考虑睾丸损伤的可能,常规首选B超检查;在B超的密切监护下实施保守治疗;对手术探查应持积极的态度.

Objective： To report 31 cases and 32 testicles of testicular injuries and summarize the experience of treatment. Methods ： Thirty-one patients suffered from testicular injuries which included 26 cases of closed injuries and 5 cases of open injuries. Nine cases were treated with expectant treatment （ surgical treatment were performed in 2 out of 9 cases later） and 22 cases were treated with surgical treatment directly. Results： Twenty-five patients and 26 testicles were followed up from 7 months to 9 years,which included 9 cases of expectant treatment and 16 cases of surgical treatment. There were 2 patients with orchiatrophy in expectant treatment group and surgical treatment group respectively. No patient had testicular sclerosis and chronic pain. Conclusion： Patients suffering from scrotal trauma or perineal trauma, might have testicular injuries simultaneously. The ultrasonic examination is preferred in these patients. Expectant treatment should be performed under the ultrasonic monitoring and some patients should be underwent operations research actively. Natl J Atutrol,2005 ,11 （ 12 ） ：939-940