小儿服囊急症

目的：总结小儿阴囊急症手术或非手术治疗的可行性。方法：回顾性研究５２６例小儿阴囊急症患者的临床资料和诊疗经验。睾丸附件扭转３６８例（７０．０％），急性鞘膜炎４９例（９．４％），睾丸扭转４２例（８．０％），急性附睾炎１９例（３．５％），急性阴囊感染１８例（３．４％），阴囊血肿１８例（３．４％），睾丸炎６例（１．１％），特发性阴囊水肿６例（１．１％）。前４种常见疾病共４７８例，占９０．９％。住院前误诊

Acute scrotum in children(report of 526 cases)

Objective To evaluate urgent surgical exploration for acute scrotum in children. Methods 526 cases of acute scrotum in children were reviewed.There were 368(70.0%) cases of torsion of the appoendix testis,49(9.3%) idiopathic pyoceles,42(8.0%) testicular torsion,19(9.3%) acute epididymitis,18(3.4%) scrotal infection,18(3.4%) scrotal hematoma,6(1.1%) acute orchitis and 6(1.1%) idiopathic scrotal edema. The most common 4 conditions accounted for 90.9%(478/526),42.4% of which have been misdiagnosed (223/526). Results 473 patients(89.9%) underwent urgent surgical exploration.Partial or complete necrosis of the distorted appendix testis has been often found.In 42 cases of testicular distorsion,necrosis due to embolism occurred in 33. Pain and edema of the scrotum usually decreased after operation. Conclusions Prompt surgical exploration for acute scrotum in children is often necessary in order to make the diagnosis accurate and the treatment appropriate.