节段性睾丸梗死二例报告  

Two cases report of segmental testicular infarction

作　　者：刘良 李守宾[1] 高博[1] 刘俊江[1] 肖贺龙 郭留雄[1] 谷守义[1] 王刚[1] 魏东[1] 孙福振[1] 杨涛[1] Liu Liang;Li Shoubin;Gao Bo;Liu Junjiang;Xiao Helong;Guo Liuxiong;Gu Shouyi;Wang Gang;Wei Dong;Sun Fuzhen;Yang Tao(Urology of Department,People′s Hospital of Hebei Province,Shijiazhuang 050000,China;Graduate Medical of Hebei North Universuty,Zhangjiakou 075000,China)

机构地区：[1]河北省人民医院泌尿外科,石家庄050000 [2]河北北方学院研究生学院,张家口075000

出　　处：《中华泌尿外科杂志》2020年第3期229-230,共2页Chinese Journal of Urology

摘　　要：节段性睾丸梗死发病率极低,通常表现为睾丸急性疼痛,需与睾丸肿瘤、睾丸扭转等鉴别,只有少数病例报告。本文报道2例,例1患者13岁,因右睾丸肿大、疼痛3 d,伴呕吐1次于2017年5月5日入院,行右侧阴囊探查+睾丸固定术,术后诊断为右侧睾丸局部梗死。术后第5日睾丸疼痛症状消失出院。术后1年查彩色多普勒超声未见明显异常。例2患者26岁,2018年3月15日因左睾丸肿痛6 d入院,彩色多普勒超声检查提示左睾丸局部梗死可能。入院诊断为左侧睾丸局部梗死,予血塞通、那曲肝素钙、迈之灵片治疗,治疗7 d后患者疼痛症状好转出院。出院后1个月患者无疼痛不适,复查彩色多普勒超声示左睾丸下极团样低-等回声,周边少量星点状血流信号。The segmental testicular infarction rate is extremely low,usually showing acute testicular pain,which needs to be distinguished from testicular tumor,testicular torsion,etc.Only a few cases were reported.In this study,two cases were presented.Case one,a 13-year-old boy,was admitted to hospital due to right testicular swelling and pain for 3 days.Presenting with vomiting once on May 5,2017.He underwent right scrotum exploration and testicular fixation.Testicular pain was disappeared and discharged on the five days operation.There was no obvious abnormality in color doppler ultrasound after one year after operation.Another patient,a 26-year-old man,was admitted to hospital due to left testicular swelling and pain for 6 on March 15,2018.He was treated with Xue Saitong,natra heparin calcium and Maizhiling tablets.After seven days of treatment,the testicular pain improved and were discharged.One month after discharge,the patient had no pain or discomfort,and the color Doppler ultrasound showed that the left subtesticular polar-like low-isoecho,and a small amount of star-like blood flow signal around.

关 键 词：睾丸疾病 节段性睾丸梗死 彩色多普勒 阴囊超声 

分 类 号：R697.22[医药卫生—泌尿科学]