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目的 :提高闭合性阴囊损伤的诊断和治疗水平。方法 :回顾性分析闭合性阴囊损伤 6 2例患者的临床资料 ,比较其手术和保守治疗的效果。结果 :手术治疗组 2 8例 ,2 5例获得随访 3～ 12个月 ,其中 2 3例 0 .5～ 3个月时症状完全消失 ,仅 2例阴囊坠痛持续 3个月以上 ,未见睾丸萎缩 ;保守治疗组 34例获得随访 6～ 6 0个月 ,2 0例 0 .5～ 3个月、6例 3～ 6个月、4例 6～ 12个月时症状完全消失 ,4例症状持续 1年以上 ,其中有 5例睾丸萎缩。结论 :闭合性阴囊损伤除小的单纯性阴囊血肿可保守治疗外 ,对大的、增长较快的血肿均应手术探查 ,清除血肿 ,充分引流 ,修补破裂的睾丸 ,避免睾丸萎缩及生精障碍
Objective: To improve the diagnosis and treatment of closed scrotum injury. Methods: The clinical data of 62 patients with closed scrotum injury were retrospectively analyzed. The effects of surgery and conservative treatment were compared. Results: Twenty-eight patients in the operation group were followed up for 3 to 12 months. Twenty-three of them were completely eliminated at 0.5-3 months, and only 2 cases of falling scrotum sustained over 3 months Testicular atrophy; 34 cases of conservative treatment group were followed up 6 ~ 60 months, 20 cases 0.5 ~ 3 months, 6 cases 3 to 6 months, 4 cases 6 to 12 months when symptoms disappeared completely, 4 cases Symptoms lasted more than 1 year, of which 5 cases of testicular atrophy. Conclusion: In addition to small scrotal hematoma can be conservative treatment of small scrotal hematoma, the large, faster growth of hematoma should be surgical exploration, removal of hematoma, full drainage, repair of ruptured testes, to avoid testicular atrophy and impaired spermatogenesis