青少年睾丸扭转的早期识别及护理

doi:10.3761/j.issn.2096-7446.2022.03.010

Abstract

Abstract: Testicular torsion is the most common urological emergency in adolescents and children. Failure to deal with it in time will lead to testicular necrosis and seriously affect their health. Early recognition,timely diagnosis and early intervention are the key to avoid orchiectomy. This research reviewed clinical features and nursing experience of 100 cases with testicular torsion. The formulation of standardized diagnosis and treatment process can effectively shorten the time from visiting the hospital to the operation. Meanwhile,we need to strengthen the popular science education for young children and their parents,and training for the primary medical personnel,striving for the golden time of treatment together to reduce the occurrence of testicular necrosis.

Key words: Testis, Spermatic Cord Torsion, Adolescent, Child, Orchiectomy, Emergency Nursing

ZHENG Zhihui, ZHU Jihua, ZOU Yao. Early identification and nursing care of testicular torsion in adolescents[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(3): 232-234.

References

[1] 涂磊,赵夭望,何军. 儿童和青少年睾丸扭转109例诊断与治疗分析[J]. 中华男科学杂志,2019,25(1):46-49.
Tu L,Zhao YW,He J.Diagnosis and treatment of 109 cases of testicular torsion in children and adolescents[J]. Natl J Androl,2019,25(1):46-49.
[2] Mansbach JM,Forbes P,Peters C.Testicular torsion and risk factors for orchiectomy[J]. Arch Pediatr Adolesc Med,2005,159(12):1167-1171.
[3] 吴阶平. 吴阶平泌尿外科学[M]. 济南:山东科学技术出版社,2004:1957.
Wu JP.Wu Jie Ping urology[M]. Jinan:Shandong Science and Technology Press,2004:1957.
[4] Chiu B,Chen CS,Keller JJ,et al.Seasonality of testicular torsion:a 10-year nationwide population based study[J]. J Urol,2012,187(5):1781-1785.
[5] 廖有刚,龙建华,申凯,等. 睾丸扭转诊治的研究现状[J]. 临床泌尿外科杂志,2019,34(7):578-581.
Liao YG,Long JH,Shen K,et al.Current research on diagnosis and treatment of testicular torsion[J]. J Clin Urol,2019,34(7):578-581.
[6] Mellick LB.Torsion of the testicle:it is time to stop tossing the dice[J]. Pediatr Emerg Care,2012,28(1):80-86.
[7] 中国医促会泌尿健康促进分会,中国研究型医院学会泌尿外科学专业委员会. 睾丸扭转诊治安全共识[J]. 现代泌尿外科杂志,2019,24(6):434-437.
Urological Health Promotion Branch of China Medical Promotion Association,Urological Surgery Professional Committee of Chinese Research Hospital Society. Chinese experts' consensus on the safety of the diagnosis and treatment of testicular torsion[J]. J Mod Urol,2019,24(6):434-437.
[8] 中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J]. 中国实用外科杂志,2018,38(1):l-20.
Surgery Committee of Chinese Medical Association,Anesthesiology Committee of Chinese Medical Association. Chinese expert consensus and path management guidelines for accelerated rehabilitation surgery[J]. Chin J Practical Surg,2018,38(1):1-20.
[9] 李凤,丁瑞,高嘉燕,等. 儿童睾丸扭转发生的原因分析及临床护理[J]. 护士进修杂志,2010,25(19):1765-1767.
Li F,Ding R,Gao JY,et al.Cause analysis and clinical nursing of testicular torsion in children[J]. J Nurs Train,2010,25(19):1765-1767.
[10] 朱智荣,阎家骏,潘建刚,等. 睾丸扭转术后患者心理状况调查及相关因素分析[J]. 中国男科学杂志,2016,30(9):21-25.
Zhu ZR,Yan JJ,Pan JG,et al.Analysis of psychological status and related factors for patients with testicular torsion after surgical treatment[J]. Chin J Androl,2016,30(9):21-25.
[11] 季庆,周卸来,郦来明. 儿童睾丸扭转家长医学应对方式及影响因素分析[J]. 中国妇幼保健,2021,36(3):644-646.
Ji Q,Zhou XL,Li LM.Analysis of parents' medical coping style and influencing factors of testicular torsion in children[J]. Matern Child Health Care China,2021,36(3):644-646.
[12] Arap MA,Vicentini FC,Cocuzza M,et al.Late hormonal levels,semen parameters,and presence of antisperm antibodies in patients treated for testicular torsion[J]. J Androl,2007,28(4):528-532.
[13] Gielchinsky I,Suraqui E,Hidas G,et al.Pregnancy rates after testicular torsion[J]. J Urol,2016,196(3):852-855.
[14] 李旭睿,高云亮,尹焯,等. 274例睾丸扭转的临床特征及误诊分析[J]. 南方医科大学学报,2019,39(4):490-494.
Li XR,Gao YL,Yin Z,et al.Clinical features of testicular torsion and its misdiagnosis:analysis of 274 cases[J]. J South Med Univ,2019,39(4):490-494.

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Early identification and nursing care of testicular torsion in adolescents

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