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睾丸损伤是临床较少见的疾病,大都伴有阴囊血肿,并常被误诊为阴囊血肿而延误治疗,造成睾丸萎缩。回顾我科1988—1998年收治的12例睾丸损伤,就其诊治体会报道如下。 1 临床资料 1.1 一般资料 本组12例,年龄10～42岁,平均25.3岁。致伤原因;踢伤3例,骑跨伤2例,刀刺伤1例,挤压伤5例,枪击伤1例。左侧7例,右侧5例。合并有尿道断裂4例。伤后72h内就诊10例,72h后就诊2例。所有病例均有阴囊外伤后睾丸剧烈疼痛、恶心、呕吐,其中3例伴有休克。除1例枪击伤外,其余11例均有阴囊青紫,睾丸轮廓不清,透光试验阴性,穿刺抽出不凝固血。有4例睾丸肿大,触痛明显,酷似急性睾丸附睾炎。B超显像示;睾丸形态异常,内部呈强弱不等回声7例,睾丸内有血凝块1例,异物1例。6例行CT扫描,均提示:睾丸密度不均匀,其中1例有金属异物。诊断为睾丸白膜下血肿4例,睾丸破裂4例,睾丸内异物1例。
Testicular injury is a less common clinical disease, most associated with scrotal hematoma, and is often misdiagnosed as scrotal hematoma and delay treatment, resulting in testicular atrophy. Review of our department from 1988 to 1998 admitted 12 cases of testicular injury, the diagnosis and treatment of its experience are reported below. 1 Clinical data 1.1 General Information The group of 12 patients, aged 10 to 42 years, mean 25.3 years old. 3 cases of kicking, 2 cases of straddle wound, 1 case of stab wound, 5 cases of crush injury and 1 case of gunshot wound. 7 cases on the left and 5 cases on the right. Combined urethral fracture in 4 cases. Within 72 hours after injury, 10 cases were treated and 2 cases were treated after 72 hours. All cases had severe testicular pain, nausea and vomiting after scrotal injury, of which 3 cases were accompanied by shock. Except for 1 case of gunshot wounds, the remaining 11 cases had scrotal bruises and the contours of testicles were unclear. The translucent test was negative and the needle was punctured to coagulate blood. There are 4 cases of testicular swelling, tenderness, resembles acute testicular epididymitis. B ultrasound imaging; testicular abnormalities, the internal strength was ranging from echoes in 7 cases, 1 case of testicular blood clots, foreign body in 1 case. 6 routine CT scan, all suggest: uneven testicular density, of which 1 case of metal foreign body. 4 cases of testicular subperiosteal hematoma, 4 cases of testicular rupture, 1 case of testicular foreign body.