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男孩急性副睾炎的发病率较以往认为的要高,在患儿有急性阴囊肿胀时是一个重要的鉴别诊断。本文对作者所在医院近5年内所见25例男孩急性副睾炎进行了回顾性研究,评价了这些病人的症状、体征和实验室检查的结果,复习了小儿急性副睾炎的治疗及其效果。结果25例副睾炎中12例累及左侧,13例累及右侧。年龄最小1岁,最大17岁。25例中24例大于6岁,表明婴幼儿副睾炎少见。1/3病例为12～14岁,1/3病例6～12岁,1/3病例14～18岁。阴囊皮肤肿胀、疼痛和发红是最常见的临床表现。40％病人体温高于37.7℃,44％白细胞高于10,000/mm~3,只有24％尿常规白细胞高于10个高倍视野。4例病人发生尿频、尿
The incidence of acute epididymitis in boys is higher than previously thought, and it is an important differential diagnosis in children with acute scrotal swelling. In this paper, 25 cases of acute biliary epididymitis seen in the author’s hospital in the past 5 years were retrospectively reviewed. The symptoms, signs and laboratory tests of these patients were evaluated. The treatment and effect of acute biliary epididymitis in children were reviewed . Results In 25 cases of bidentity, 12 cases involved the left side and 13 cases involved the right side. The youngest 1 year old, the oldest 17 years old. Twenty-five of 25 cases were older than 6 years old, indicating that infantile edema is rare. One third of cases were 12-14 years old, one third of cases were 6-12 years old and one third of cases were 14-18 years old. Scrotal skin swelling, pain and redness are the most common clinical manifestations. 40% of patients with body temperature above 37.7 ℃, 44% of leukocytes above 10,000 / mm ~ 3, and only 24% of urinary white blood cells higher than 10 high power fields. 4 cases of frequent urination, urine