阴囊急症临床特点分析

目的:探讨阴囊急症的鉴别诊断与治疗方法。方法:回顾性总结316例阴囊急症患者的临床特点,结合文献进行分析。结果:急性附睾炎117例(37.0%),急性睾丸炎76例(24.1%),急性鞘膜炎39例(12.3%),急性阴囊感染23例(7.3%),睾丸损伤21例(6.6%),特发性阴囊水肿17例(5.4%),睾丸扭转16例(5.1%),阴囊坏疽7例(2.2%)。手术治疗81例,非手术治疗235例。其中1例阴囊坏疽拒绝手术引流而死于中毒性休克。睾丸扭转患者Prehn's征均阳性,经手术治疗后恢复良好。结论:阴囊急症对男性健康危害较大,早期准确诊断十分重要,尽早采用针对性的处理措施是关键。

Clinical characteristics of acute scrotum: Analysis of 316 cases

Objective:To investigate the differential diagnosis and treatment of acute scrotum.Methods:We retrospectively analyzed the clinical characteristics of 316 cases of acute scrotum and reviewed the related literature.Results:Among the total number,there were 117 cases of acute epididymitis (37.0%),76 acute orchitis (24.1%),39 acute periorchitis (12.3%),23 acute scrotal infection (7.3%),21 testicular trauma (6.6%),17 idiopathic scrotal edema (5.4%),16 testicular torsion (5.1%),and 7 scrotal gangrene (2.2%).Eighty-one of them underwent surgery and 235 received conservative treatment,of whom 1 with scrotal gangrene died of toxic shock for refusing surgical drainage.Those with testicular torsion all showed positive results in Prehn's test and responded well to surgery.Conclusion:Acute scrotum is detrimental to male health,for which early diagnosis and prompt treatment are essential.