Baby and young children's testicles are rare in clinical, and they are mostly concentrated in the newborn period.Testicles are divided into internal sheath and sheath shape, and the sheath internal type is more common in adolescents; the sheath shape only occurs in the fetus or even the uterus.Turn.Frequently ascetic newborn period testicles have just dropped to scrotum, and the band is not fully integrated on the scrotum wall. Testes, epididymia and narrow sheath sac along the longitudinal axis below the sperm to form an extravascular twist.Childbirth, fetal hip position, intrauterine or production channel pressure, premature birth, damage in production, and strong contraction of test muscles.
Cause
① Fierce exercise: such as cycling, dancing, ball movement, etc., leading to testicular spasm, contraction, and testicular reversal; ② ambient temperature changes: the incidence rate of the cold season is too high, which may be related to excessive contraction of the scrotum.It may be that the sleeping position forced the testicular position to change or the vagus nerve excitability increases at night, causing test muscle spasm and contraction.
Clinical manifestation
Large castle cysts on one side, affected sides of testicular pain and testicular swelling are the main signs of testicular torsion. A younger children often have sudden scrotum pain, and infants and young children are crying.Accompanying symptoms such as nausea, vomiting.The swelted dyspse of the body can be seen on the body.White blood cells have risen, but there are exceptions in literature reports.
Diagnosis method
CDFI is considered the most effective and reliable method in identifying testicular reversal and other testicular diseases. After CDFI examination confirmed, the sound image characteristics are testicular and epididymal.There are high accuracy and specificity in identifying testicular reversing and other diseases, and fast, intuitive, and non -invasiveness. It can be used as the preferred examination method for diagnosis of testicular tires of infants and young children.There are also CDFI testicular blood flow without significant decrease. Considering that it may be orchitis, but clinical manifestations cannot exclude testicular reversing. It can be confirmed by surgery. Careful treatment should be treated when the testicles of infants and young children are reversed.Testicles should be combined with comprehensive clinical analysis.
Approach
The testicular torsional direction is reversed from the outer side to the midline. Therefore, when the right testicular is reset, the testicular test rotates counterclockwise, and the left side is rotated in a clockwise direction.The position of the position indicates that the reset is successful.Li Yan and other 35 testicles under 13 years of age to reverse 3 cases of testicles under the age of 13 <6 hours of incomplete reversal cases, no leachate in the scrotum, light skin edema, and successful trial method after reset.It is possibly that the method of resetting is the possibility of twisting again. Before the reset, you need to accurately determine the direction and degree of the twisting direction, otherwise it will increase and delay the condition.The information of this article reminds us that in order to avoid misdiagnosis and delaying treatment, once doubt or can not remove the scrotal emergencies that are tested, we should actively investigate.During the operation, testicular reversal was found, and immediately reset it. If the patient's testicular necrosis is removed, if the blood is better, bilateral testicular fixation should be performed, because the occurrence of testicular to reversing is closely related to the anatomical anatomy, and the anatomy is mostly double double.Side.Therefore, when the testicles on one side are reversed, especially those on the side of testicular necrosis have been removed, in order to avoid severe consequences of the opposite testicles, it should be emphasized that the opposite testicles are fixed during surgery.Given that ICing tests are more prone to testicular reversal, testicular decreased fixation should be performed for children under 2 years old.Newborns need to remove necrotic testicles as soon as possible, but there are also a few newborn surgery to save success in time after birth. Therefore, early diagnosis and timely treatment are the key to testicular survival.
(Editor in charge: zero -degree warm)
