丸扭曲的季节性变化:一个回顾性研究
Liqaa Raffee1, Ma'moun Bani Ali2, Khaled Alawneh3
1Department of Accident and Emergency Medicine, Jordan University of Science and Technology, Irbid, JOR.
Cureus
|January 29, 2025
概括
丸扭曲 (TT) 是一种泌尿器科的紧急情况. 迅速干预是关键,因为救援率在24小时后显著下降,尽管即使在72小时后也可能取得一些成功.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 紧急医疗 紧急医疗
背景情况:
- 丸扭曲 (TT) 是一个关键的泌尿器科紧急情况.
- 及时干预至关重要,以防止无可逆转的丸损伤.
研究的目的:
- 分析男性TT推的趋势.
- 评估诸如多普勒超声波 (DS) 等诊断方法.
- 评估症状持续时间,花切除率,横向性和季节性影响.
主要方法:
- 观察性回顾性队列研究 (2009-2021年).
- 包括308名接受TT治疗的患者.
- 收集的数据:人口统计数据,症状持续时间,横向性,手术结果 (DS,阴囊探查,桃术,桃切除术).
主要成果:
- 研究了308名TT患者 (10-33岁).
- 63% (194) 的人在平均47小时后接受了花切除术.
- 右侧的TT随着年龄的增长而每年增加6%,冬季的发病率最高.
结论:
- 即使在72小时后,丸救援也是可能的,但成功率显著下降.
- 症状持续时间较长与丸组织恢复能力较差相关.
- 老年人更容易发生右侧TT;冬季发病率高峰表明环境触发因素.
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