儿童急性附睾炎的诊断及治疗体会

Diagnosis and manag ementexperience of epididymitis in childhood.

目的探讨儿童急性附睾炎的早期诊断和治疗。方法回顾分析近4年内我院收治的28例急性附睾炎儿童临床资料。结果共收治28例急性附睾炎儿童,占同期收治的60例急性阴囊疼痛患儿的46.7%。26例急性附睾炎患儿实施保守治疗,1例急性附睾炎患儿进行手术探查后排除了睾丸及附睾扭转,1例患儿因病情严重行手术减压术挽救睾丸。结论急性阴囊疼痛、肿胀是一个潜在的手术急症,急性阴囊疼痛患儿中急性附睾炎并不少见,早期就诊,早期明确诊断可以避免手术治疗。

Objective To explore the early diagnosis and treatment of children with acute epididymitis. Methods We conducted a retrospective review of children admitted to our department with acute epididymitis in 4 years. The information includ- ed clinical manifestations, physical examination findings, laboratory dates, age of patient, duration of pain before admission and a history of fever or vomiting, physical examination and so on. Results Of the 60 children admitted with the acute scrotum, epidid- ymitis was diagnosed in 28 （46. 7% ）. The remaining cases included torsion of the testis in 30 patients, torsion of the appendix testis in 5. All the patients except 1 with epididymitis were diagnosed before surgical intervention and 26 patients were treated con- servatively, 1 case was performed operation owing to serious condition. Conclusion Acute scrotal pain, swelling are a potential surgical emergency, prompt and accurate diagnosis is crucial, acute epididymitis among children with acute pain in the scrotum is not uncommon,early diagnosis would benefit most children and unnecessary scrotal exploration should be avoided.