未经授权:睾丸扭转(TT)是一种常见的泌尿系统急症,对儿童造成严重的健康问题。及时诊断和治疗TT对保护儿童受累睾丸非常重要。这项研究的目的是评估历史特征,体检结果,实验室测试,和TT儿童的超声检查,以及确定儿童睾丸抢救的预测因素。
未经评估:我们对临床发现进行了回顾性记录,实验室数据,超声检查结果,运行结果,以及2004年11月至2021年12月住院TT患儿的随访结果。使用多变量逻辑回归模型来确定睾丸抢救的预测因素。
未经评估:共102名出现TT的住院儿童纳入研究。患者年龄从1个月到16岁,平均年龄为7.71岁。TT在冬季更为常见。在这些病人中,77次扭转是左侧的,24在右边,只有一个在双边。同时,我们检测到88名患有TT的儿童有精索阴道内扭转,其余的都在外面.逆时针扭转65例(63.73%),顺时针扭转37例(36.27%)。因此,60例接受了睾丸切除术,42岁时进行了阴囊探查,并固定了睾丸。多因素分析显示,引起TT,时间干预,白细胞(WBC),和平均血小板体积(MPV)与手术结局的风险相关.
UASSIGNED:只有一小部分TT儿童接受了及时的手术治疗。睾丸抢救可以通过TT的原因来预测,时间干预,WBC,MPV。基于仔细体格检查的早期阴囊探查可降低精索扭转的误诊风险。一定比例的TT患儿出现阴囊外伤或附睾-睾丸炎,应检查睾丸以确保他们没有扭转,尤其是那些在寒冷季节参观的人。
UNASSIGNED: Testicular torsion (TT) is a common urological emergency posing serious health problem in children. Prompt diagnosis and treatment of TT are very important for children to protect the affected testis. The aim of this study was to evaluate the historical features, physical examination findings, laboratory tests, and ultrasound examinations in children with TT, as well as to identify the predictors of testicular salvage in children.
UNASSIGNED: We conducted a retrospective record of clinical findings, laboratory data, ultrasound findings, operating results, and the results of follow-up in hospitalized children with TT from November 2004 to December 2021. A multivariable logistic regression model was used to identify predictors of testicular salvage.
UNASSIGNED: A total 102 hospitalized children who presented with TT were included. Patients were aged from 1 month to 16 years, with a median age of 7.71 years. TT is significantly more common in the winter. Of these patients, 77 torsions were left-sided, 24 were on the right side, and only 1 was on bilateral sides. Meanwhile, we detected that 88 children suffering from TT had intravaginal torsion of the spermatic cord, and the rest were outside. Anticlockwise torsion was found in 65 cases (63.73%) and clockwise torsion in 37 (36.27%). As a result, 60 underwent orchidectomy, while 42 had a scrotal exploration with fixation of the testis. Multivariate analysis showed that cause of TT, time to intervention, white blood cell (WBC), and mean platelet volume (MPV) were correlated with the risk of a surgical outcome.
UNASSIGNED: Only a small proportion of TT children received timely surgical management. Testicular salvage can be predicted by cause of TT, time to intervention, WBC, and MPV. Early scrotal exploration based on careful physical examination decreases the risk of misdiagnosis of spermatic cord torsion. A certain percentage of children with TT presenting with scrotal trauma or epididymo-orchitis should have their testicles checked to make sure that they do not have torsion, especially those who visit in the cold season.