Abstract
Within 10 years was observed in 107 children aged 7 to 17 years with acute diseases of scrotum organs of non-traumatic Genesis. Torsion of the testis hydatid had 22 patients, torsion of the spermatic cord - 39, acute epididymitis or epididymoorchitis - 46. In the complex emergency diagnostics of primary importance attached to ultrasound and Doppler ultrasound, which allowed us urgently to make a diagnosis and choose treatment tactics. Operated 22 patients with torsion of the hydatid (removal of hydatid), 39 children with torsion of the spermatic cord (testicular decorsia in the first 6-12h of onset - 25, arhitekturnomu - 14), 16 patients with purulent epididymoorchitis (epididymectomy - 15, orchiectomy - 1). 30 children underwent conservative treatment of epididymitis and epididymoorchitis. All 107 patients were discharged from hospital with recovery, 92(86,0%) - with preserved egg. In the period from 1 to 5 years is a good long-term results had to 73,3% of patients, satisfactory in 20% and 6,7% of children showed an atrophy of the testis and other complications. The study shows the feasibility of switching to a differentiated tactics of treatment failure from exploratory operations at the acute scrotum syndrome.
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