关键词: children cryptorchidism orchidopexy retrospective study testicular torsion

来  源:   DOI:10.3389/fped.2024.1296222   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of this study was to compare the clinical characteristics and outcomes of children with cryptorchidism testicular torsion between the younger age group and the older age group.
UNASSIGNED: We collected the clinical data of children with cryptorchidism complicated with testicular torsion in our hospital from January 1, 2013 to January 1, 2023. The patients were divided into two groups: the younger age group (1month∼4 years old, n = 7) and the older age group (4∼18 years old, n = 7). The differences of clinical manifestations and surgical results between the two groups were compared.
UNASSIGNED: A total of 14 patients with unilateral cryptorchidism testicular torsion were included in this study, including 9 on the left side and 5 on the right side. The main clinical manifestations were pain /swelling of groin. The rate of crying in the younger age group was significantly higher than those in the older age group [(5,71.4%) vs. (0,0.0%), P < 0.05]. The median duration of symptoms of the younger group was less than the older group [42(7,96) h vs. 70(24, 96) h, P > 0.05]. The ipsilateral testicular salvage rate in the younger age group was 14.3% (1/7), which was lower than the older age group 57.1% [(4/7), P > 0.05]. The degree of testicular torsion in younger age group was more severe than the older age group [720(360, 1,080)° vs. 360(270, 360)°, P > 0.05].
UNASSIGNED: The overall salvage rate of cryptorchidism testicular torsion is low. Although the duration of symptoms in the older age group was longer, the salvage rate of the older age group seemed to be higher than that in the younger age group. In addition, physical and imaging examination of the reproductive system should be carried out in time to identify the children with cryptorchidism testicular torsion in the early stage.
摘要:
这项研究的目的是比较年轻年龄组和老年年龄组的隐睾睾丸扭转儿童的临床特征和结局。
我们收集了2013年1月1日至2023年1月1日我院隐睾并发睾丸扭转患儿的临床资料。将患者分为两组:年轻年龄组(1个月~4岁,n=7)和年龄较大的年龄组(4~18岁,n=7)。比较两组患者的临床表现和手术效果的差异。
本研究共纳入14例单侧隐睾睾丸扭转患者,包括左边的9个和右边的5个。主要临床表现为腹股沟疼痛/肿胀。年轻年龄组的哭闹率显着高于老年组[(5,71.4%)与(0,0.0%),P<0.05]。年轻组的症状持续时间中位数小于老年组[42(7,96)h与70(24,96)h,P>0.05]。年轻年龄组同侧睾丸抢救率为14.3%(1/7),低于老年组的57.1%[(4/7),P>0.05]。年轻年龄组的睾丸扭转程度比老年组严重[720(360,1,080)°vs.360(270,360)°,P>0.05]。
隐睾睾丸扭转的总体抢救率低。虽然老年组的症状持续时间较长,老年组的抢救率似乎高于年轻组。此外,应及时进行生殖系统的身体和影像学检查,以识别早期患有隐睾睾丸扭转的儿童。
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