急性附睾睾丸炎与精索血运障碍(附24例报告)

Acute epididymal orchitis and funicular blood circulation disorder

目的 提高对急性附睾睾丸炎性精索血运障碍的认识。 方法 对 2 4例行手术探查的急性附睾睾丸炎患者的临床资料进行总结。 结果 2 4例精索均水肿增粗 ,15例精索鞘膜与睾丸鞘膜移行处形成狭窄环 ,9例附睾与精索紧密粘连。 6例术前病程≥ 10d者中 5例睾丸梗死 ,1例萎缩 ;18例病程 <5d者中 1例睾丸梗死 ,1例萎缩 ,16例恢复正常。 结论 急性附睾睾丸炎保守治疗效果不佳的原因可能为精索血运障碍 ,对这类病例应早期手术治疗。

Objective To promote the understanding of s evere epididymal orchitis causing funicular blood circulation disorder. Methods 24 cases of acute epididymal orchitis that caused funicu lar blood circulation disorder were studied.Surgical management has been underta ken in all. Results The funiculus was edematous and enla rged in all the 24 cases with the epididymus markedly adhered to it in 9. A sten otic ring placed between the funicular vaginal coat and the perididymus transiti onal zone was observed in 15.The course of the disease has been more than 10 day s in 6 and in 5 of them there was testicular infarction and in 1 the testicle be ing atrophic.The couse of the disease has been less than 5 days in 18.Testicular infaction and testicular atrophy was found in 1 each.The other 16 patients reco vered uneventful after surgery. Conclusions Conservative management would not do if there is funicular blood circulation disorder and in such cases early operation should be undertaken.