[双边丸扭曲与单边症状]
Camilla Engelsmann1, Julie Mai Fisker Peitersen2, Benedikte Holm Ejsing3
1Urologisk afdeling, Sjællands Universitetshospital, Roskilde.
Ugeskrift for laeger
|December 9, 2025
概括
双边丸扭曲 (TT) 是罕见的. 即使有单边症状,外科医生也必须在进行骨科外科手术之前检查两个丸的TT和钟声形变形,以防止缩.
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) 是一种需要迅速干预以防止丸缩的手术紧急情况.
- 双边TT并不常见,占所有TT病例的不到2%.
- "钟声"变形使个人容易患TT.
研究的目的:
- 报告一个罕见的双边丸扭曲 (TT) 病例,在青少年中呈现单边症状.
- 强调在涉嫌TT的外科探索期间进行全面双边检查的重要性.
- 为了强调错过诊断的可能性,当只有单方面症状存在时.
主要方法:
- 一个青少年男性的病例报告呈现急性阴囊疼痛.
- 手术检查显示了双边TT和双边形变形.
- 为挽救丸组织而进行的双边骨干切除术.
主要成果:
- 患者出现了暗示TT的单边症状.
- 手术探索意外地揭示了双边的TT.
- 两个丸都表现出声器形,增加扭曲的风险.
- 双边骨干切除术成功进行.
结论:
- 这一案例强调了在怀疑TT的外科检查期间,无论最初的单边症状如何,都需要对两个丸进行全面检查.
- 没有检查两个丸可以导致错过双边TT和随后的丸损失.
- 在两个丸中存在钟声形的存在需要双边手术固定.
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