结节性多动脉炎致睾丸梗死1例报告并文献复习  

Testicular infarction due to polyarteritis nodosa:a case report and literature review

作　　者：左飞 沈华[1] 吴伟力[1] 韩菲 于洪波[1] 吴宏飞[1] ZUO Fei;SHEN Hua;WU Weili;HAN Fei;YU Hongbo;WU Hongfei(Department of Urology,BenQ Medical Center,Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学附属明基医院泌尿外科,江苏南京210000

出　　处：《现代泌尿外科杂志》2023年第9期796-798,804,共4页Journal of Modern Urology

摘　　要：目的报告1例由结节性多动脉炎(PAN)导致的睾丸梗死病例,结合国内外相关文献,探讨其临床诊治。方法回顾性分析1例以“阴囊区疼痛”为主诉,初诊为“睾丸扭转”,后诊断为PAN导致的睾丸梗死患者的诊断、治疗及随访经过,并复习相关文献。结果本例患者确诊PAN导致睾丸梗死后,采取糖皮质激素及扩血管、抗氧化等治疗,睾丸血流得到改善。结论PAN导致睾丸梗死极为罕见,其实验室检查无特异表现,也缺乏特异性抗体,确诊依靠病理活检和美国风湿病学会(ACR)的分类标准,及时诊断、积极治疗可获得良好预后。Objective To report a case of testicular infarction due to polyarteritis nodosa(PAN),and to discuss its clinical diagnosis and treatment based on relevant literatures at home and abroad,so as to have a better understanding of this rare disease.Methods Clinical data of a case complaining of scrotal pain who was initially diagnosed as testicular torsion and later confirmed to be testicular infarction due to PAN were retrospectively analyzed,and relevant literatures were reviewed.Results With glucocorticoid,vasodilator and antioxidant treatment,the patient's testicular blood flow was improved.Conclusion Testicular infarction due to PAN is a rare disease which is difficult to diagnose timely.The diagnosis depends on biopsy and the standards formulated by American College of Rheumatology(ACR).Good prognosis can be achieved with timely diagnosis and correct treatment.

关 键 词：阴囊区疼痛 睾丸扭转 睾丸梗死 结节性多动脉炎 

分 类 号：R699.8[医药卫生—泌尿科学]