现代大都市阴囊和睾丸创伤的流行病学方面

S. Yarovoy, R. Khromov, Sh. L. Voskanyan
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引用次数: 1

摘要

本文分析了2008-2017年莫斯科男科急诊部队收治的414例阴囊和睾丸损伤患者的数据。申请损伤阴囊、睾丸的患者90%以上年龄在60岁以下。在和平时期,在大都市(莫斯科)的条件下,绝大多数情况下阴囊和睾丸(共89.4%)有钝性(不破坏皮肤的完整性)损伤。其中,77.3%为不同程度的钝性运动和家庭睾丸损伤,其中相对较轻的损伤占明显优势,特别是睾丸瘀伤。开放性损伤相对罕见,总共为10.6%。在开放性损伤中,阴囊破裂不损伤脏器者占绝大多数(占阴囊及脏器开放性损伤患者总数的63.6%)。阴囊损伤需要紧急手术干预的比例出人意料地低——53.1%,这是由于轻度创伤选项占主导地位——阴囊损伤和睾丸损伤(在泌尿科护理频率中共占61.4%),在某些情况下允许保守治疗甚至动态观察的可能性。
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Epidemiological aspects of scrotal and testicle trauma in modern metropolis
The article analyzes the data of 414 patients with scrotal and testicular injuries treated in 2008–2017 by the forces of urgent andrologic service in Moscow.More than 90% of patients who applied for injury to the scrotum and testicle were under the age of 60 years. In peacetime, in the conditions of the metropolis (Moscow) in the vast majority of cases there is a blunt (without breaking the integrity of the skin) injury of the scrotum and testicle (a total of 89.4%). Of these, 77.3% are blunt sports and domestic injury of the testicle of varying severity with a pronounced predominance of relatively light injuries, in particular, the bruise of the testicle. Open injuries are relatively rare-a total of 10.6%. Among open injuries, ruptures of the scrotum without damage to its organs are predominate (63.6% of the total number of patients who applied for open wounds of the scrotum and its organs).The need for emergency surgical interventions in scrotal injury was unexpectedly low-53.1%, which is due to the predominance of mild trauma options – scrotal injury and testicular injury (a total of 61.4% in the frequency of urological care), in certain situations allowing the possibility of conservative treatment or even dynamic observation.
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