在儿科患者扭曲后的丸缩:长期随访结果
Sasa Milivojevic1, Djordje Topalovic2, Ivana Dasic1
1University Children's Hospital Belgrade, Belgrade, Serbia.
Urology
|January 15, 2025
概括
及时干预对于扭伤后的丸救援至关重要. 延迟手术超过6小时显著增加丸缩,并可能影响男性生育能力,即使有挽救的丸.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 外科手术的结果
- 生殖健康 生殖健康
背景情况:
- 丸扭曲是一种需要及时诊断和治疗的外科紧急情况.
- 了解丸挽救的长期结果对于患者管理至关重要.
- 延迟干预对丸活力和生育能力的影响仍然令人担忧.
研究的目的:
- 评估丸扭曲修复的长期结果.
- 为了评估手术扭曲和救援后丸缩的速度.
- 为了确定干预时间和丸活力之间的关系.
主要方法:
- 对103名接受手术扭曲和丸挽救的患者 (2000-2024) 的回顾性分析.
- 患者根据症状发作到干预时间分为三组:<6小时,6-12小时和>12小时.
- 长期随访 (中位数为65个月),包括对丸体积,血流和结构均性的超声评估.
主要成果:
- 与较晚的干预组相比,<6小时小组的丸存在和体积显著更高 (P <.001).
- 在干预时间组之间观察到丸血流和结构均性的显著差异 (P <.001).
- 丸救援在100%的情况下成功 <6小时,64.7%在6-12小时,20.8%在>12小时.
结论:
- 丸缩率比以前报告的要高,特别是在延迟干预的情况下.
- 如果干预发生在症状出现后6小时以上,救援不太可能.
- 在挽回的丸中,异质超声波发现需要进一步调查对男性生育能力的潜在不良影响.
相关概念视频
Testes: Gross Anatomy
1.6K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
1.6K
Testes: Histology
662
A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
The spermatogenic cells, responsible for producing sperm, are...
The spermatogenic cells, responsible for producing sperm, are...
662


