张力性睾丸鞘膜积液2例报告并文献复习

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Tension hydrocele：report of 2 cases and literature review

ZHAO Xun1，WANG Shumin2，QIU Min1，XU Chuxiao1，WANG Guoliang1，ZHANG Shudong1

（1.Departmentof Urology，2.Department of Ultrasound，Peking University Third Hospital，Beijing 100191，China）

ABSTRACT：Objective To explore the diagnosis and treatment experience of tension hydrocele.Methods The clinical data of 2 patients with tension hydrocele treated in our hospital were retrospectively analyzed.Relevant literature was retrieved to analyze the clinical characteristics of this disease.Results Case 1 was diagnosed due to swelling and pain of the left scrotum after trauma for more than one month，which worsened for one day.Physical examination showed high tension in the left scrotum and positive light transmission test.Ultrasound examination revealed that the blood flow signal in the left testis disappeared.Emergency left scrotal exploration and hydrocelectomy were performed.There was no sign of testis torsion during the operation.Case 2 was diagnosed mainly due to hydrocele of the right testis for 1 year，which worsened for 1 week and complicated with testis distension and pain.Physical examination showed high tension in the right scrotum and positive light transmission test.Ultrasound examination revealed that the blood flow signal in the right testis decreased.After 40ml of fluid was extracted under ultrasound monitoring，the blood flow signal in the right testis recovered.Hydrocelectomy was performed the next day.During the follow-up of 8 months，there was no recurrence of hydrocele.A search of domestic and foreign literature showed that there were no reports in domestic literature，while a total of 11 cases were reported in foreign literature.Conclusion Tension hydrocele of the testis is a rare emergency of the scrotum.Surgery or decompression should be performed as soon as possible to restore testicular blood supply，and hydrocelectomy should be performed simultaneously or in stages to prevent recurrence.

KEY WORDS：testis hydrocele;tension;ultrasound;hydrocelectomy

摘要：目的 分享张力性睾丸鞘膜积液的诊疗经验，提高临床对该疾病的诊疗认识。（剩余7664字）