阴囊镜技术在睾丸扭转早期诊断中的应用  

Application of scrotoscopy in the early diagnosis of testicular torsion:a single institution experience

作　　者：叶华茂[1] 刘智勇[1] 许传亮[1] 侯建国[1] 孙颖浩[1] 

机构地区：[1]上海第二军医大学长海医院泌尿外科,上海200433

出　　处：《微创泌尿外科杂志》2013年第2期117-118,共2页Journal of Minimally Invasive Urology

摘　　要：目的:评价阴囊镜技术用于早期诊断睾丸扭转的可行性及安全性.方法:2009年2月～2011年6月对8例阴囊急症患者行阴囊镜检查,阴囊镜采用F7半软输尿管镜或F10小儿膀胱镜,于阴囊切口5 mm,置入阴囊镜观察睾丸、附睾及睾丸附件情况.结果:8例阴囊镜检查均获成功,对阴囊急症的诊断率为100％,术后未见明显并发症.随访6个月,2例睾丸扭转保留睾丸的患者,患侧睾丸血流情况良好；5例附睾炎患者,均未发现异常.结论:阴囊镜技术是一种安全、可行、准确和有效的早期诊断睾丸扭转的方法.Objective:In our study,we assessed the feasibility of applying scrotoscopy in the early diagnosis of testicular torsion.Methods:From February 2009 to June 2011,8,patients with acute scrotum underwent scrotoscopy examination.A F_7 semi-rigid ureteroscope or a F_(10) pediatric cystoscope was employed as scrotoscope.Results:The scrotoscope had a diagnostic accuracy of 100%.No complication was observed in these patients.All patients were followed up for 6 months.5 patients with epididymitis were cured by intravenous antibiotics and the blood flow of the testis was normal in the lestis-preserving patient.Conclusions:Our study proves that scrotoscopy is safe,feasible, accurate and effective in the early diagnosis of testicular torsion.

关 键 词：诊断 阴囊镜 睾丸扭转 

分 类 号：R697[医药卫生—泌尿科学]