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고환염전의 조기진단의 필요성에 대한 임상적 고찰

Torsion of Spermatic Core: The Need for Early Recognition

대한비뇨기과학회지 1995년 36권 4호 p.431 ~ 437
성경탁 (  ) - 동아대학교

김춘곤 (  ) - 동아대학교
윤기현 (  ) - 동아대학교
이동규 (  ) - 동아대학교

Abstract


We performed surgical treatment in 18 cases of torsion of the spermatic cord during the past four years. Patient age ranged from 2 to 54 years old : 13 cases were 16 or less. Torsion involved the left side in 11 cases. Surgical detorsion was
performed
in 10 cases, but in the other 8 cases orchiectomy was unavoidable. Of 8 cases treated with orhiectomy, the diagnosis was delayed in 7 cases due to mistaken diagnosis, primarily epididymitis by doctors in local clinics and generasl hospitals. The
time of
delay in the orchiectomy group ranged from 54 hours to 2 weeks with the average of 6.28 days. For one case, the visit to our hospital was too late. In 10 cases treated with surgical detorsion, all of the patients visited our hospital within 48
hours.
Improvement of the testis salvage rate requires that adolescents, their families and teachers should learn to recognize this disease, and particularly doctors of other departments should recognize it as acute scrotum.

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