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自1980年6月至1989年12月,我科收治急性附睾炎16例,其中7例作咐睾被膜切开术,9例用药物治疗。结果表明,前者效果明显优于后者。现报告如下。 临床资料 本组16例,年龄20岁～54岁,平均31岁。左侧9例,右侧5例,双侧2例。7例作附睾被膜切开木;9例进行药物治疗,采用青霉索、庆大霉素或氨苄青霉素静脉淌注。大多数病人于发病一周内就诊,仅4例在发病后10～30天就诊。 手术方法:在硬膜外麻醉下,切开阴囊各层达鞘膜腔。显露睾丸,附睾,可见附睾充血、肿胀,并有纤维素性渗出。沿附睾外缘白头部至尾部纵行切开被膜,切忌伤及附睾管。切开后,被膜由于张
From June 1980 to December 1989, 16 cases of acute epididymitis were treated in our department. Seven cases underwent teratocutaneous incision and nine cases received drug treatment. The results show that the former effect is obviously better than the latter. The report is as follows. Clinical data The group of 16 patients, aged 20 to 54 years, mean 31 years. Left in 9 cases, right in 5 cases, bilateral in 2 cases. 7 cases of epididymal mucosa incision wood; 9 cases of drug treatment, penicillin, gentamicin or ampicillin intravenous drip. Most patients visited within one week of onset and only 4 received treatment 10 to 30 days after onset. Surgical methods: under epidural anesthesia, cut the scrotum layers up to the sheath cavity. Show testicles, epididymis, visible hyperemia, swelling of the epididymis, and a cellulose exudate. Along the epididymal margin of the white head to tail longitudinal incision film, avoid injuring the epididymal tube. After cutting, the film due to Zhang