【摘要翻译】评估鞘膜积液切除和精液囊肿切除手术中附睾损伤的风险
发布于 2004-06-09 · 浏览 1086 · IP 陕西陕西
这个帖子发布于 20 年零 334 天前，其中的信息可能已发生改变或有所发展。
[文题]EVALUATING THE RISK OF EPIDIDYMAL INJURY DURING HYDROCELECTOMY AND SPERMATOCELECTOMY.
评估鞘膜积液切除和精液囊肿切除手术中附睾损伤的风险
[来源]Journal of Urology.
[年、卷、期、页]2004. 171(6, Part 1 of 2):2291-2292, June 2004.
[作者]ZAHALSKY, MICHAEL P.; BERMAN, ADAM J.; NAGLER, HARRIS M.
[原文摘要]
Purpose: We evaluated the risk of epididymal injury in patients undergoing hydrocelectomy and spermatocelectomy, and determined risk factors that may increase the chance of epididymal injury. To our knowledge the incidences of epididymal injury during hydrocelectomy and spermatocelectomy have not previously been reported.
Materials and Methods: The pathology reports of all patients undergoing hydrocelectomy and spermatocelectomy at a single institution from 1990 to 2003 were retrospectively reviewed to determine if a portion of the epididymis was present in the pathology specimen. Patients with epididymis present then underwent a chart review to determine possible risk factors for epididymal injury.
Results: A total of 338 adults underwent unilateral or bilateral hydrocelectomy from 1990 to 2003. Another 111 patients underwent spermatocelectomy during this period. In 19 patients (5.62%) epididymal injuries were documented during hydrocelectomy and in 19 (17.12%) epididymal injuries were documented during spermatocelectomy. No specific risk factors could be identified.
Conclusions: The risk of epididymal injury during hydrocelectomy and spermatocelectomy is significant. Patients must be informed of this risk since epididymal injury may lead to infertility. To our knowledge this is the first published report documenting the incidence and risk of epididymal injury during hydrocelectomy or spermatocelectomy.
[中文译文]
目的：我们评估了鞘膜积液切除及精液囊肿切除手术中附睾损伤的风险，并确定了增加附睾损伤几率的危险因素。据我们所知，鞘膜积液切除和精液囊肿切除手术中附睾损伤的发生率尚未报道。
材料与方法：回顾一单独的研究所1990-2003年所有鞘膜积液切除和精液囊肿切除手术的病理报告，以确定病理标本内是否包括部分附睾组织。对存在有部分附睾组织的患者进行一项表格式的回顾以确定附睾损伤的可能危险因素。
结果：1990-2003年共有338例成人患者接受了单侧或双侧鞘膜积液切除术，同期有111例患者接受了精液囊肿切除术。19例（5.62%）接受鞘膜积液切除术的患者存在附睾损伤，19例（17.12%）接受精液囊肿切除术的患者存在附睾损伤。未发现特异的危险因素。
结论：鞘膜积液切除和精液囊肿切除手术中附睾损伤的风险是重要的。患者必须被告知这一风险因为附睾损伤可能引起不育。据我们所知这是第一次报道鞘膜积液切除和精液囊肿切除手术中附睾损伤的发生率。
----------------------------
[个人评论]本文所述的附睾损伤的发生率（鞘膜积液5.62%，精液囊肿17.12%）好象有点高。
评估鞘膜积液切除和精液囊肿切除手术中附睾损伤的风险
[来源]Journal of Urology.
[年、卷、期、页]2004. 171(6, Part 1 of 2):2291-2292, June 2004.
[作者]ZAHALSKY, MICHAEL P.; BERMAN, ADAM J.; NAGLER, HARRIS M.
[原文摘要]
Purpose: We evaluated the risk of epididymal injury in patients undergoing hydrocelectomy and spermatocelectomy, and determined risk factors that may increase the chance of epididymal injury. To our knowledge the incidences of epididymal injury during hydrocelectomy and spermatocelectomy have not previously been reported.
Materials and Methods: The pathology reports of all patients undergoing hydrocelectomy and spermatocelectomy at a single institution from 1990 to 2003 were retrospectively reviewed to determine if a portion of the epididymis was present in the pathology specimen. Patients with epididymis present then underwent a chart review to determine possible risk factors for epididymal injury.
Results: A total of 338 adults underwent unilateral or bilateral hydrocelectomy from 1990 to 2003. Another 111 patients underwent spermatocelectomy during this period. In 19 patients (5.62%) epididymal injuries were documented during hydrocelectomy and in 19 (17.12%) epididymal injuries were documented during spermatocelectomy. No specific risk factors could be identified.
Conclusions: The risk of epididymal injury during hydrocelectomy and spermatocelectomy is significant. Patients must be informed of this risk since epididymal injury may lead to infertility. To our knowledge this is the first published report documenting the incidence and risk of epididymal injury during hydrocelectomy or spermatocelectomy.
[中文译文]
目的：我们评估了鞘膜积液切除及精液囊肿切除手术中附睾损伤的风险，并确定了增加附睾损伤几率的危险因素。据我们所知，鞘膜积液切除和精液囊肿切除手术中附睾损伤的发生率尚未报道。
材料与方法：回顾一单独的研究所1990-2003年所有鞘膜积液切除和精液囊肿切除手术的病理报告，以确定病理标本内是否包括部分附睾组织。对存在有部分附睾组织的患者进行一项表格式的回顾以确定附睾损伤的可能危险因素。
结果：1990-2003年共有338例成人患者接受了单侧或双侧鞘膜积液切除术，同期有111例患者接受了精液囊肿切除术。19例（5.62%）接受鞘膜积液切除术的患者存在附睾损伤，19例（17.12%）接受精液囊肿切除术的患者存在附睾损伤。未发现特异的危险因素。
结论：鞘膜积液切除和精液囊肿切除手术中附睾损伤的风险是重要的。患者必须被告知这一风险因为附睾损伤可能引起不育。据我们所知这是第一次报道鞘膜积液切除和精液囊肿切除手术中附睾损伤的发生率。
----------------------------
[个人评论]本文所述的附睾损伤的发生率（鞘膜积液5.62%，精液囊肿17.12%）好象有点高。
最后编辑于 2004-06-20 · 浏览 1086
回复收藏点赞
