291例睾丸切除术病因分析  

Causes of orchiectomy: An analysis of 291 cases

作　　者：龙智[1,2] 何乐业[1,2] 汤育新[1,2] 蒋先镇[1,2] 王津伟[1,2] 陈文航 汤进[1,2] 张一川[1,2] 杨驰[3] 

机构地区：[1]中南大学湘雅三医院泌尿外科,湖南长沙410013 [2]中南大学前列腺疾病研究所,湖南长沙410013 [3]中南大学湘雅三医院骨科,湖南长沙410013

出　　处：《中华男科学杂志》2015年第7期615-618,共4页National Journal of Andrology

摘　　要：目的：探讨睾丸切除的病因,以及不同年龄和时间段的病因构成比。方法：回顾性分析1993年3月至2014年10月收治的291例睾丸切除患者的病因,比较不同年龄段和不同时间段的病因构成比及其顺位。结果：0~25岁阶段以睾丸扭转坏死（45.8%）、隐睾（32.5%）和睾丸肿瘤（16.9%）为主;26~50岁阶段病因以睾丸肿瘤（42.4%）、隐睾（25.9%）和结核（10.6%）为主;51~75岁和〉75岁的年龄组中,前列腺癌是最主要的病因,分别为77.6%和84.0%,睾丸肿瘤（10.2%）也是51~75岁年龄段不容忽视的病因。1993~2009年的病因构成比变化不大,前列腺癌、睾丸肿瘤、隐睾、睾丸扭转坏死分别是导致患者睾丸切除的前4位病因;但2010~2014年睾丸肿瘤上升为第1位,前列腺癌下降到第4位。结论：不同年龄段患者接受睾丸切除的病因有明显的差异。近5年来前列腺癌患者接受去势手术的比例显著减少,可能与社会整体医疗保障水平的提高有关。Objective： To study the causes of orchiectomy in different age groups. Methods： We retrospectively reviewed the clinical data about 291 cases of orchiectomy performed between March 1993 and October 2014 and analyzed the causes of surgery and their distribution in different age groups. Results： The main causes of orchiectomy were testicular torsion（ 45. 8%）,cryptorchidism（ 32. 5%） and testicular tumor（ 16. 9%） in the patients aged 0- 25 years,testicular tumor（ 42. 4%）,cryptorchidism（ 25. 9%） and tuberculosis（ 10. 6%） in those aged 26- 50 years. Prostate cancer was the leading cause in those aged 51- 75 years（ 77. 6%） or older（ 84. 0%）,and testicular tumor was another cause in the 51- 75 years old men（ 10. 2%）. Prostate cancer,testicular tumor,cryptorchidism,and testicular torsion were the first four causes of orchiectomy between 1993 and 2009. From 2010 to 2014,however,testicular tumor rose to the top while prostate cancer dropped to the fourth place. Conclusion： The causes of orchiectomy vary in different age groups. The proportion of castration for prostate cancer patients significantly reduced in the past five years,which might be attributed to the improvement of comprehensive health care service.

关 键 词：睾丸切除术 病因 睾丸肿瘤 隐睾 结核 睾丸扭转坏死 前列腺癌 年龄 

分 类 号：R699.8[医药卫生—泌尿科学]