小儿睾丸附件解剖位置与阴囊急症相关性研究

Study on the correlation between the anatomical position of testicular appendages and acute scrotal diseases

目的:探讨小儿睾丸附件的解剖位置与阴囊急症的相关性。方法:观察160例鞘膜积液手术患儿睾丸附件发生的位置、数目、形状、大小。结果:各种解剖位置附件的发生率高达91.8%(147/160)。附件中带蒂率91.4%,其中长蒂附件89例(60.5%),短蒂附件44例(29.9%),无蒂附件14例(9.5%),各种形状附件中以睾丸附件、长蒂附件最易扭转。结论:了解睾丸附件的解剖位置、形状、大小情况有助于对附件扭转引起的阴囊急症作出早期诊断及正确指导临床治疗。

Objective：To explore the correlation between the anatomical position of testicular appendages and acute scrotal diseases.Methods：The position,number,shape,and size of testicular appendages in 160 infants after surgery of hydrocele were observed.Results：The incidence of all kinds of testicular appendages was as high as 91.8%（147/160）,the incidence of appendages with pedicles was 91.4%,89 cases were found with appendages of long pedicles（60.5%）,44 cases were found with appendages of short pedicles（29.9%）,and 14 cases were found with appendages without pedicles（9.5%）.Among all kinds of appendages,torsion was easy to occur in testicular appendages and appendages of long pedicles.Conclusion：Understanding the position,shape,and size of testicular appendages is helpful to make early diagnosis and direct clinical treatment correctly for the infants with acute scrotal diseases caused by torsion of appendages.