附睾睾丸炎继发睾丸梗死一例报告  

Testicular infarction secondary to epididymo-orchitis:a case report

作　　者：成龙 杨伟忠 石崇军 Cheng Long;Yang Weizhong;Shi Chongjun(Department of Urology,Huizhou Hospital Affiliated to Guangzhou Medical University,The Third People's Hospital of Huizhou,Huizhou 516000,China)

机构地区：[1]广州医科大学附属惠州医院惠州市第三人民医院泌尿外科,广东惠州516000

出　　处：《中华泌尿外科杂志》2020年第11期871-872,共2页Chinese Journal of Urology

摘　　要：附睾睾丸炎继发睾丸梗死发病率极低,通常表现为睾丸急性肿大疼痛,需与睾丸肿瘤、睾丸扭转等鉴别。本文报告1例,入院后予抗感染治疗7 d,效果欠佳。行阴囊探查术,未见睾丸整体缺血及扭转,未见明显脓腔形成,行精索鞘膜下段切开减压术和睾丸鞘膜翻转术、睾丸白膜切开减压术治疗。术后患者疼痛明显好转出院。术后随访6个月未见异常。The incidence of testicular infarction secondary to epididymal-orchitis is extremely low.It usually manifests as acute testicular enlargement and pain,which requires differentation with testicular tumors and testicular torsion.This article reported a case with 10 days unsatisfied conservative treatment.Scrotal exploration operation revealed no obvious formation of abscess cavity.Subdivision of spermatic cord sheath,testicular sheath reversal drainage,and testicular sheath decompression treatment were performed.The pain of the patient relieved significantly after surgery.No abnormality was recorded within 6 months follow-up.

关 键 词：睾丸 梗死 缺血 附睾睾丸炎 治疗 

分 类 号：R697.22[医药卫生—泌尿科学]