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タイトル: | 精巣捻転症例における精巣白膜減張切開術の検討 |
その他のタイトル: | Clinical Study of Testicular Fasciotomy for Testicular Torsion |
著者: | 長澤, 誠司 兼松, 明弘 新開, 康弘 嶋谷, 公宏 橋本, 貴彦 東郷, 容和 鈴木, 透 呉, 秀賢 野島, 道生 山本, 新吾 |
著者名の別形: | Nagasawa, Seiji Kanematsu, Akihiro Shinkai, Yasuhiro Shimatani, Kimihiro Hashimoto, Takahiko Togo, Yoshikazu Suzuki, Toru Go, Shuken Nojima, Michio Yamamoto, Shingo |
キーワード: | Testicular torsion Testicular fasciotomy |
発行日: | 30-Nov-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 11 |
開始ページ: | 455 |
終了ページ: | 459 |
抄録: | Between November 2011 and November 2014, we performed a tunica albuginea incision with tunica vaginalis flap coverage (TAI+TVFC) on 5 out of 15 patients who underwent surgery for testicular torsion. Of those 15 patients, 7 underwent orchidopexy alone (Group A), 5 underwent TAI+TVFC (Group B), and 3 underwent an orchidectomy procedure (Group C). All were followed for 1 year and preservation of testicular volume >50% on the contralateral side in ultrasound measurements was considered as salvaged. During the follow-up examinations, no testicular atrophy was noted in Group A. In Group B, tension and testis color were immediately improved in all 5 patients after TAI+TVFC, while blood perfusion was also improved after the operation. Also 3 patients in Group B were considered to be salvaged, while testicular atrophy occurred in 2 after 8 or more hours from onset until surgery. Our results indicated that TAI+ TVFC is useful for restoring blood flow after surgery for testicular torsion, although the so-called‘Golden time’for torsion surgery has a significant impact in such cases. |
著作権等: | 許諾条件により本文は2018/12/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_11_455 |
URI: | http://hdl.handle.net/2433/228191 |
PubMed ID: | 29232795 |
出現コレクション: | Vol.63 No.11 |
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