睾丸、附睾附件扭转的临床病理分析

Clinical Pathology of Twisted Testicular and Epididymal Appendages in Children

目的 探讨睾丸、附睾附件扭转的病理变化与临床治疗方法的选择。方法 应用HE染色 ;特殊染色 :网状纤维染色、V G、MCT ;免疫组化 :Desmin、Actin、Vimentin ,对 2 1例睾丸、附睾附件扭转进行临床病理学分析。结果 2 1例附件扭转者部分坏死 10例 ,全部坏死 11例 ;炎症型 13例 ,出血型 8例。附件扭转的病理改变与临床发病时间无明显相关性。结论 附件扭转以发病时间来判断是否做手术的指标没有更多的病理依据 ,故应及时手术治疗为宜。

Objective To investigate the relationship between pathologic characteristics and the options of the treatment methods in twisted testicular and epididymal appendages.Methods Twenty one case of twisted testicular and epididymal appendages were analyzed pathologically by HE,histocheminal stains(reticular fiber,V G and MCT)and immunohistochemical stains(Desmin,Actin and Vimetin).Results In 21case of twisted appendges,10 were partial necrosis,11 were full necrosis.Of them 13 were the type of inflammation,8 were the type of hemorrhage.There were no correlation between the pathological change and morbid time.Conclusion There aren't more pathologic evidences using morbid time to judge operative indication in twisted appendages. So operation is the main methods of treatment in that .