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中華民國泌尿科醫學會雜誌

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篇名 Patch Graft of Tunica Vaginalis to Repair a Testicular Rupture
卷期 7:2
並列篇名 以鞘膜移植片修補外傷性睪丸破裂
作者 林克勳黃一勝仇光宇
頁次 77-81
關鍵字 組織移植睪丸破裂核子醫學影像tissue transplantationtestisruptureradionuclide imagingTSCI
出刊日期 199606

中文摘要

關對於睪丸破裂之病人,早期的陰囊探查已經成為治療之優先考慮。我們有兩個睪丸創傷的病人,經由超音波診斷為睪丸破裂,皆因故於受傷後兩天才接受手術治療。術中發現,睪丸裂傷併細精管之嚴重腫脹及脫出,睪丸貸單純縫合(primary closure)似乎不可能,只能考慮部份或全睪丸切除。後來,我們成功地取用了一塊睪丸鞘膜的移植片蓋於脫出之細精管上,並予以縫合,術後六天所做之睪丸核子掃描顯示睪丸之血流皆為正常並無血流不足之現象。其中一例於84年7月門診追蹤檢查顯示睪丸並無明顯萎縮現象。所以,對於嚴重睪丸破裂之病人,以睪丸鞘膜移植片來修補之方法不失為一種不錯的選擇。在此,我們提出這兩個病人的相關資料,並對這方面之相關文獻做一些回顧。

英文摘要

For patients with testicular rupture, early exploration has become standard treatment. Two patients with traumatic rupture of the testicles were diagnosed by ultrasonography and treated two days after injury. Severe edematous change of seminiferous tubules was found intraoperatively and primary repair was impossible. Partial or total orchiectomy was considered; however, a free graft of the tunica vaginalis was successfully undertaken to cover the exposed seminiferous tubules. A post-operative testicular scan revealed normal blood flow six days later. This method may represent a valuable adjunct in managing major testicular rupture. Herein these two cases are presented,with review of the related literature.

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