[成功保存使用突尼加阿尔布吉尼亚切割的扭伤的丸:两起案件的报告]
Kazuro Kikkawa1,2, Yuko Ueda1, Yasuo Kohjimoto1
1Department of Urology, Wakayama Medical University.
概括
丸扭曲可以通过切割tunica albuginea和使用tunica vaginalis来保护丸来治疗. 这种手术方法改善了青少年男性的丸外观和血液流动.
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:
- 丸扭转会导致缺血,缺血-再输血损伤和隔间综合征.
- 迅速的手术扭曲对于丸的挽救至关重要.
研究的目的:
- 评估tunica albuginea切口和tunica vaginalis片在扭曲不响应单独扭曲的情况下保持丸活力的有效性.
主要方法:
- 两名丸扭曲的青少年男性接受了紧急手术.
- 进行了扭曲,随后进行了tunica albuginea切口和tunica vaginalis片覆盖,这是由于丸颜色差.
- 手术后评估了丸活力和血液流动.
主要成果:
- 两名患者都显示,经过tunica albuginea切口和翻盖后,丸颜色和血液流动有所改善.
- 一年和六个月的随访显示,在两种情况下,丸大小保持良好,血液流动良好.
结论:
- 用tunica vaginalis flap切割tunica albuginea切割可以成为一个可行的技术,用于丸在扭曲中的保存.
- 对丸功能的长期影响需要进一步调查和随访.
相关概念视频
01:19Testes: Gross Anatomy
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...
01:27Testes: Histology
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...