丸扭曲样本的病理再评估:对外科手术干预策略的影响
Pengyu Chen1, Yue Wang2, Jiahong Su1
1Department of Urology, Shenzhen Children's Hospital, Futian District, Shenzhen 518000, Guangdong, People's Republic of China.
Journal of pediatric urology
|February 13, 2026
概括
对丸扭伤病例的回顾性分析发现,12.4%的丸切除术是在轻度损伤的患者身上进行的. 较短的症状持续时间和较低的单细胞计数可能表明人群适合进行骨切除术而不是骨切除术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 病理学 病理学 病理学
- 外科手术决策的制定能力
背景情况:
- 丸扭曲是一种需要迅速干预的外科紧急情况.
- 有时需要进行管切除术 (丸切除),但其指示需要仔细考虑.
- 切除组织的病理评估可以为手术决策提供信息.
研究的目的:
- 为了回顾性地分析丸组织从因扭曲而导致的尾切除病例.
- 为了评估之前对切除术的外科决定的准确性.
- 确定丸扭曲时进行雄心切除术的适当外科指示.
主要方法:
- 针对因丸扭曲而接受切术的患者 (2015-2023) 病历的回顾性审查.
- 使用Mikuz分级系统重新评估切除的丸样本.
- 临床数据 (症状持续时间,年龄,单细胞计数) 与病理等级的相关性.
主要成果:
- 113名患者接受了管切除术;14名 (12.4%) 患有低度 (1级) 丸损伤.
- 较长的症状持续时间与较高的损伤等级相关;年龄的增加与1级相关.
- 与较高等级相比,较低的单细胞计数 (<0.5 × 10^9/L) 与1级损伤有显著的相关性.
结论:
- 由于丸扭曲而进行的管切除术的显著比例可能在患有最小病理损伤的患者身上进行.
- 目前评估丸损伤严重程度扭曲后的客观措施是有限的.
- 症状持续时间和单细胞计数可能有助于识别患者,可以从orchiopexy (丸固定) 而不是orchiiectomy中受益.
相关概念视频
Torsion of Noncircular Members
617
Circular shafts undergoing torsional stress maintain their cross-sectional integrity due to their axisymmetric nature. This symmetry ensures an even distribution of stress, allowing the shaft to withstand torsion without distorting. In contrast, square bars, lacking this axial symmetry, experience significant distortion across their cross-sections when subjected to torsion, with the exception of along their diagonals and at lines connecting midpoints. A detailed examination of a cubic element...
617
Torsional Pendulum
7.5K
A torsional pendulum involves the oscillation of a rigid body in which the restoring force is provided by the torsion in the string from which the rigid body is suspended. Ideally, the string should be massless; practically, its mass is much smaller than the rigid body's mass and is neglected.
As long as the rigid body's angular displacement is small, its oscillation can be modeled as a linear angular oscillation. The amplitude of the oscillation is an angle. The role of mass is played...
As long as the rigid body's angular displacement is small, its oscillation can be modeled as a linear angular oscillation. The amplitude of the oscillation is an angle. The role of mass is played...
7.5K
Bending and Torsional Moments
5.9K
Bending and torsional moments are two fundamental concepts in structural engineering. They play an important role in understanding the behavior of materials and structures under different loading conditions.
The reaction developed in a structural element when subjected to an external force causes the element to bend. When a structural element bends upwards, it creates compressive normal forces on the top and tensile normal forces on the bottom, resulting in a couple that determines the bending...
The reaction developed in a structural element when subjected to an external force causes the element to bend. When a structural element bends upwards, it creates compressive normal forces on the top and tensile normal forces on the bottom, resulting in a couple that determines the bending...
5.9K
Nursing Interventions I: Taxonomy of Nursing Interventions
4.0K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
4.0K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.5K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.5K
Community Based Intervention
492
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
492


