儿童午菲管扭转的诊治

Diagnosis and Treatment of Wōlffian Duct Torsion in Children

目的:对儿童午菲管扭转病因、诊断及早期手术治疗进行分析总结。临床资料:本组7例均有剧烈运动或直接暴力损伤史。特征为以附睾头部为中心整个附睾肿胀,其与睾丸相连处明显触痛伴阴囊红肿。术中发现午菲管扭转并获病理证实。复查睾丸正常。结果:7例均做午菲管切除。术后输通脉液及抗生素,10天后炎症消退,疗效优于非手术治疗。结论:午菲管扭转须与睾丸及睾丸附件扭转和睾丸炎相鉴别。早期手术治疗有利于睾丸及附睾炎症吸收和功能恢复。

Seven children with Wlffian duct torsion had a history of strenuous exercise or di- rect violent injury.Swelling appeared in the epididymis,especially the head of epididymis.The scrotum became red and swollen.During operation,the torsional Wlffian duct was resected.In- travenous low molecular weight dextrose and antibiotics were given postoperatively.Torsion of Wlffian duct was related to the anatomical abnormality,strenuous exercise and direct violent in- jury.It should be differentiated from the torsion of testis and the orchitis.It is suggested that an early exploration would be beneficial to the resolution of inflammation and the restoration of the testicular function.