テトラサイクリン注入による睾丸水瘤の治療

Abstract

11例の睾丸水瘤に対して, 1%または2%のドキシサイクリンあるいはミノサイクリンの注入療法を行い, 9例に治癒が得られた.9例中7例は1回の注入により, 2例は2回の注入で治癒している.溶解液として生理食塩水を用いた2例は, いずれも注入直後に疼痛を訴えたが, 1%リドカインに溶解した例では, 9回の注入により1例のみに軽度の疼痛がみられた.本法は治療効果が高く, リドカインを用いれば疼痛も軽微であるうえに, 外来で容易に行うことができるので, 睾丸水瘤に対して行う価値がある

Eleven cases of hydrocele testis were treated with injection of a 1% or 2% dedoxycycline hydrochloride or minocycline hydrochloride, and a cure was obtained in 9 cases (81.8%). Of these 9 cases, 7 cases were cured after one injection, and 2 cases after 2 injection. Both of the latter 2 cases in which physiological salt solution was used as the dissolving solution experienced scrotal pain immediately after injection. Among the cases in which 1% lidocaine was used as the dissolving solution only 1 injection (11.1%) was associated with slight pain out of 9 injections. This treating method is highly effective and little or no pain is experienced if lidocaine is used. In conclusion, we recommend this method as a treatment for hydrocele testis.