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頁籤選單縮合
題名 | Clinical Presentation of Acute Scrotum in Young Males=年輕男性陰囊急症之臨床表現 |
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作者 | 劉家駒; 黃書彬; 周以和; 李經家; 吳明蒼; 黃俊雄; 吳文正; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 23:6 2007.06[民96.06] |
頁次 | 頁281-286 |
分類號 | 415.861 |
關鍵詞 | 陰囊急症; 睪丸副睪炎; 睪丸附屬器; 睪丸扭轉; 超音波; Acute scrotum; Epididymo-orchitis; Testicular appendage; Testicular torsion; Ultrasound; |
語文 | 英文(English) |
中文摘要 | 本篇研究目的在探討年輕男性陰囊急症之臨床表現與超音波發現。回顧性探討從 1993 年 1 月至 2004 年 10 月共 87 位二十五歲以下因陰囊急症而至高雄醫學大學附設醫院就診之年輕男性。依其最後診斷區分成三組探討:(1) 睪丸扭轉:41 位 (2) 睪丸附屬器扭轉:8 位 (3) 睪丸副睪炎:38 位。研究結果發現:睪丸扭轉組 (14.0 ± 5.7 歲) 與睪丸副睪炎組 (16.6 ± 7.6 歲) 病人之平均年齡較睪丸附屬器扭轉組 (10.0 ± 3.5 歲) 來的高 (p = 0.02)。白血球數目上升 (> 10,000 個 / 毫升) 之情形在三組中並無顯著之差異。而尿液白血球數目上升僅在 10 位睪丸副睪炎組病人 (26%) 發現。彩色杜普勒超音波在鑑別診斷睪丸扭轉與其他原因之陰囊急症有很好的敏感性 (87.9%) 與特異性 (93.3%)。因此對於發生睪丸扭轉低危險性之陰囊急症病人,我們建議可以安排彩色杜普勒超音波來協助鑑別診斷以減少不必要手術。此外應對民眾教育有關陰囊急症緊急處理之重要性,以避免發生延遲就醫。 |
英文摘要 | The purpose of this study was to assess the clinical presentation and ultrasonographic findings of acute scrotum in young males. A total of 87 patients (≤ 25 years old) with presentation of acute scrotum were retrospectively analyzed in Kaohsiung Medical University Hospital. The patients were divided into three groups according to their final diagnosis: 41 patients with testicular torsion (TT), eight patients with torsion of the testicular appendage (TTA), and 38 patients with epididymo-orchitis (EO). The mean ages of the TT group (14.0 ± 5.7 years) and EO group (16.6 ± 7.6 years) were higher than that of the TTA group (10.0 ± 3.5 years) (p = 0.02). White blood cell count (> 10,000 cells/µL) was not found to be statistically different among groups. Pyuria was found in 10 (26%) patients with EO. Color Doppler ultrasound has high sensitivity (87.9%) and specificity (93.3%) rates to differentiate TT from other causes of acute scrotum. In cases with a lower risk of TT, we suggest that a technically adequate color Doppler ultrasound may be arranged to help differentiate diagnoses and prevent needless surgery. The importance of emergent management for acute scrotum should also be impressed upon the public through education to avoid delayed presentation to medical facilities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。