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目的 总结睾丸交通伤的诊治体会。 方法 2 4例睾丸交通伤 ,年龄 18～ 6 1岁。其中 2 0例合并其他部位损伤 ;10例行阴囊B超检查 ;11例立即手术治疗 ,13例保守治疗。同时 ,与同期睾丸非交通伤 30例进行对照分析。 结果 手术治疗 11例中 ,3例发现睾丸破裂行睾丸切除术 ,其余 8例采用血肿清除术 ;保守治疗 13例中 ,5例延期手术。睾丸交通伤的主要特点 :(1)睾丸损伤程度重 ;(2 )合并伤多 ;(3)容易漏误诊 ;(4)临床表现严重而复杂。 结论 睾丸交通伤应早期手术 ,但当合并其他部位损伤时 ,应根据患者伤情程度及局部情况等决定。早期诊断 ,及时治疗是治愈本病的关键
Objective To summarize the diagnosis and treatment of testicular traffic injuries. Methods Twenty-four cases of testicular traffic injuries, aged 18 to 61 years old. Of which 20 cases with other parts of the injury; 10 cases of scrotal ultrasound B; 11 cases of immediate surgery, 13 cases of conservative treatment. At the same time, compared with the same period non-traffic testicular 30 cases were analyzed. Results Of the 11 cases treated by operation, 3 cases found orchidectomy in testicular rupture and the remaining 8 cases were treated with hematoma removal. In conservative treatment of 13 cases, 5 cases were delayed operation. The main features of the testicular traffic injury: (1) the degree of testicular injury; (2) the combined injury and more; (3) easy to misdiagnosis; (4) the clinical manifestations of serious and complex. Conclusion Testicular traffic injury should be early surgery, but when combined with other parts of the injury, should be based on the degree of patient injury and local conditions and other decisions. Early diagnosis, timely treatment is the key to cure this disease