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中華民國泌尿科醫學會雜誌

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篇名 Pediatric Epididymitis and Orchitis:An Age Consideration
卷期 8:1
並列篇名 小兒的附睪炎與睪丸炎:年齡因素的考量
作者 梁景堯鄭鴻琳林信男唐一清蔡宗欣張建成林永明
頁次 33-37
關鍵字 睪丸炎附睪炎小兒EpididymitisorchitispediatricTSCI
出刊日期 199703

中文摘要

附睪炎與睪丸炎一般在成人較為常見,少見於兒童和青少年。文獻指出小兒附睪炎與睪丸炎的發生率約略和精索扭絞或睪丸附件扭絞相當。我們在此報導成大醫院於這方面的經驗,在八年中計有三十五個小兒附睪炎與睪丸炎的病例。 我們統計結果發現一歲以內的男嬰其附睪炎與睪丸炎的發生率最高,佔全部患者的百分之二十二,在統計學上有顯著的差異;其次是九歲的小孩,佔百分之十四。在季節分佈方面,以五月份的七例最多。 隨著發病年齡的不同,病因和治療的方式也有所不同。兩歲以內的小孩,宜注意是否伴隨有器官構造上的異常;大一點的小孩(五歲至青春期)則同時也要考慮排尿功能是否異常。若是患者有性經驗(本地尚不常見),應將性傳染病列入檢驗。

英文摘要

Epididymitis and orchitis are more common in adults than in children and adolescents. Previous studies suggested that epididymitis is nearly as frequent as torsion of the spermatic cord or torsion of the appendix of testes. In this study, we present our experience with 35 patients with diagnosis of epididymitis or orchitis during an eight-year period. Our data showed a significantly higher incidence (p<0.05) of epididymitis and orchitis in infants younger than year old (8 of 35 patients, 22.9%), and a less significant peak falls among boys aged 9 years old (5 of 35 patients, 14.2%). The seasonal distribution showed a significantly higher incidence (p<0.005) in May (7 cases of 35 patients, 20%). According to the age group of the patient, there may be various etiologies and approaches. For young children under two years old, an underlying anatomical pathology should be ruled out. In older boys (between five years old and puberty) dysfunctional voiding should also be taken into consideration. For adolescents with sexual exposure, sexually transmitted diseases should be screened.

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