[加布里埃尔-图雷教学医院小儿外科的儿童急性泪囊炎]。

Le Mali medical Pub Date : 2022-01-01
I Amadou, A Barry, B Traore, M T Coulibaly, O M Coulibaly, A Doumbia, F Traoré, B Karembé, M K Djire, B Kamate, M B Daou, Y M Coulibaly, M Aguissa, D Konaté, M E Cissé, O Coulibaly, A Dembélé, Y Coulibaly
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引用次数: 0

摘要

急性精囊炎是一种内外科急症,因为其多种病因会威胁到睾丸及其附属器官的功能预后:确定儿童急性精囊炎的病因,并描述其临床和治疗方面:这是一项回顾性描述性研究,研究时间为2010年1月1日至2015年12月31日,研究对象为加布里埃尔-图雷教学医院小儿外科接诊并治疗的所有0至15岁急性精囊炎患儿:6年间,我们登记了42名患者,即外科急诊的1.4%。平均年龄为2.98岁(24天-14岁)。早产儿占11.9%。阴囊肿瘤疼痛是就诊的主要原因(76.2%),主要病因是HISE(90.5%)、阴囊外伤(4.7%)、睾丸附睾炎(2.4%)和睾丸扭转(2.4%)。97.6%的病例采用手术治疗。97.6%的病例在3个月后的病程较为简单:结论:儿童急性精囊炎并不常见,尤其多发于婴儿。结论:儿童急性泪囊炎并不常见,尤其多见于婴儿,主要病因是绞窄性腹股沟阴囊疝。为了降低发病率和死亡率,必须及早诊断和适当治疗。
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[Acute bursa of the child in pediatric surgery at the teaching hospital Gabriel Touré].

Acute bursa is a medico-surgical emergency because of its many etiologies threatening the functional prognosis of the testes and their appendages.

Objectives: Identify the causes of acute bursaries in the child and describe their clinical and therapeutic aspects.

Materials and method: This was a retrospective descriptive study from January 1, 2010 to December 31, 2015 on all children aged 0 to 15 years received and treated for acute scholarship in the Pediatric Surgery department at the teaching hospital Gabriel Touré.

Results: In 6 years, we registered 42 patients, ie a frequency of 1.4% of surgical emergencies. The mean age was 2.98 years (24 days-14 years). Prematurity represented 11.9% of cases. Painful scrotal tumefaction was the main reason for consultation (76.2%), The main aetiologies were HISE (90.5%), scrotal trauma (4.7%), orchi epididymitis (2.4%) and testicular torsion (2.4%). The treatment was surgical in 97.6% of cases. The course after 3 months was simple in 97.6% of cases.

Conclusion: Acute bursa in children is an uncommon condition, especially affecting infants. Strangulated inguino-scrotal hernia was the main aetiology. The diagnosis must be early and the treatment adequate in order to reduce morbidity and mortality.

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