Comparison of conservative and surgical treatment of testicular appendage torsion in children
10.3760/cma.j.cn431274-20210202-00158
- VernacularTitle:儿童睾丸附件扭转保守治疗与手术治疗的疗效对比
- Author:
Yunzhen GUO
1
;
Weiwei LIU
;
Fang GONG
;
Feng ZHONG
;
Xiangming KONG
;
Daang SUN
;
Zhi GENG
;
Xin HUANG
;
Zhongjun ZHANG
Author Information
1. 徐州医科大学附属滕州市中心人民医院小儿外科，滕州 277500
- Keywords:
Child;
Testicular appendage torsion;
Surgical treatment;
Conservative treatment
- From:
Journal of Chinese Physician
2022;24(2):266-269
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of conservative and surgical treatment of testicular appendage torsion in children and to summarize the experience.Methods:The clinical data of 106 children with testicular appendage torsion admitted in Tengzhou Central People's Hospital Affiliated to Xuzhou Medical University from January 2012 to December 2018 were retrospectively analyzed. According to different therapeutic methods, all the children were divided into conservative group (25 cases) and surgical group (81 cases). The clinical efficacy was compared between the two groups.Results:106 children with testicular appendage torsion were cured. The hospitalization time [(5.61±1.04)d vs (11.32±1.89)d], pain relief time [(9.11±2.56)d vs (68.5±19.87)d], disappearance time of scrotal edema [(5.11±1.08)d vs (10.56±1.50)d] and the utility time of antibiotic [(4.89±1.32)d vs (7.06±1.26)d] in the surgical group were shorter than those in the conservative group, with statistically significant difference(all P<0.05). After 6 months of follow-up, there were no cases of recurrence and discomfort in the two groups. Conclusions:Children with testicular appendage torsion should be actively treated with surgery, which can not only significantly shorten the course of disease, but also reduce the incidence of complications and missed diagnosis. For children who with testicular appendage torsion, surgeries should be performed actively. It can significantly shorten the duration of symptoms, but also reduce the occurrence of complication and the occurrence probability of misdiagnosis.
