儿童睾丸附件扭转保守治疗与手术治疗的疗效对比

Comparison of conservative and surgical treatment of testicular appendage torsion in children

目的探讨小儿睾丸附件扭转保守治疗与手术治疗的临床效果,并总结治疗经验。方法回顾性总结2012年1月至2018年12月徐州医科大学附属滕州市中心人民医院收治的106例睾丸附件扭转患儿的临床资料,根据其治疗方法不同,分为保守组(25例)与手术组(81例)。分析比较两组病例的治疗效果。结果106例睾丸附件扭转患儿均获得痊愈,手术组患儿住院时间[(5.61±1.04)d vs(11.32±1.89)d]、疼痛缓解时间[(9.11±2.56)h vs(68.50±19.87)h]、阴囊水肿消失时间[(5.11±1.08)d vs(10.56±1.50)d]、抗生素应用时间[(4.89±1.32)d vs(7.06±1.26)d]等均短于保守治疗组,差异均有统计学意义(均P<0.05),经过6个月随访后,两组均无复发及不适反应病例。结论小儿睾丸附件扭转应积极行手术治疗,这不仅可明显缩短病程,还可减少并发症及漏诊的发生。

Objective To investigate the clinical efficacy of conservative and surgical treatment of testicular appendage torsion in children and to summarize the experience.Methods The clinical data of 106 children with testicular appendage torsion admitted in Tengzhou Central People's Hospital Affiliated to Xuzhou Medical University from January 2012 to December 2018 were retrospectively analyzed.According to different therapeutic methods,all the children were divided into conservative group(25 cases)and surgical group(81 cases).The clinical efficacy was compared between the two groups.Results 106 children with testicular appendage torsion were cured.The hospitalization time[(5.61±1.04)d vs(11.32±1.89)d],pain relief time[(9.11±2.56)d vs(68.5±19.87)d],disappearance time of scrotal edema[(5.11±1.08)d vs(10.56±1.50)d]and the utility time of antibiotic[(4.89±1.32)d vs(7.06±1.26)d]in the surgical group were shorter than those in the conservative group,with statistically significant difference(all P<0.05).After 6 months of follow-up,there were no cases of recurrence and discomfort in the two groups.Conclusions Children with testicular appendage torsion should be actively treated with surgery,which can not only significantly shorten the course of disease,but also reduce the incidence of complications and missed diagnosis.For children who with testicular appendage torsion,surgeries should be performed actively.It can significantly shorten the duration of symptoms,but also reduce the occurrence of complication and the occurrence probability of misdiagnosis.