首页|小儿睾丸扭转的临床危险因素分析

小儿睾丸扭转的临床危险因素分析

扫码查看
目的:探讨小儿睾丸扭转(TT)的临床危险因素.方法:选取2015年7月—2019年10月徐州医科大学附属徐州儿童医院确诊的54例TT患儿作为研究对象,按扭转严重程度分为活力组、无活力组,收集患儿的一般临床资料和超声特征:年龄、持续时间、扭转度数、白细胞计数(WBC)、季节、发病当天气温、回声、血流信号、阻力指数(RI).采用单因素分析筛选小儿TT的危险因素,logistic回归预测小儿TT发生的独立危险因素.结果:单因素分析显示,持续时间、扭转角度、RI、WBC、发病当天气温等因素是小儿TT发生的危险因素.logistic回归预测,持续时间、扭转角度、RI、发病当天气温是小儿TT的独立危险因素,其中,持续时间在判断小儿TT时的意义更大.发病当天气温是重要的外界因素.结论:在寒冷冬季或气温骤降时应及时增添贴身衣物、做好保暖、提高认知、早发现、早治疗是预防小儿TT和提高睾丸存活率的关键.
Analysis of Clinical Risk Factors in Pediatric Testicular Torsion
Objective:To investigate the clinical risk factors for pediatric testicular torsion(TT).Methods:54 children with TT diagnosed in the hospital from July 2015 to October 2019 were selected for the study,and were divided into viable and non-via-ble groups according to the severity of torsion.General clinical data and ultrasound characteristics of the children were collected:age,duration,degree of torsion,white blood cell count(WBC),season,temperature on the day of onset,echogenicity,blood flow sig-nal,and resistance index(RI).Risk factors for pediatric TT were screened using univariate analysis,and logistic regression predicted independent risk factors for the development of TT in pediatric patients.Results:Univariate analysis showed that duration,angle of torsion,RI,WBC,and temperature on the day of onset were risk factors for the development of TT in pediatric patients.Logistic regression predicted that duration,angle of torsion,RI,and temperature on the day of onset were independent risk factors for pediatric testicular torsion,with duration being more significant in determining pediatric TT.Temperature on the day of onset was an important external factor.Conclusion:In cold winters or when the temperature plummets,it is important to add close-fitting clothing in a timely manner to keep warm.Raising awareness and early detection and treatment are the keys to preventing pediatric TT and improving testicular survival rates.

ChildrenTesticular torsionUltrasonographyRisk factor

陈晨、葛怡辰

展开 >

徐州医科大学附属徐州儿童医院超声医学科,江苏 徐州 221000

南京医科大学,江苏 南京 210011

小儿 睾丸扭转 超声 危险因素

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(3)
  • 19