紀要論文 精巣捻転症例における精巣白膜減張切開術の検討
Clinical Study of Testicular Fasciotomy for Testicular Torsion

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

63 ( 11 )  , pp.455 - 459 , 2017-11-30 , 泌尿器科紀要刊行会
ISSN:0018-1994
NII書誌ID(NCID):AN00208315
内容記述
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.
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http://repository.kulib.kyoto-u.ac.jp/dspace/bitstream/2433/228191/1/63_11_455.pdf

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