TESTICULAR TORSION - LATE RESULTS WITH SPECIAL REGARD TO FERTILITY AND ENDOCRINE FUNCTION
TESTICULAR TORSION - LATE RESULTS WITH SPECIAL REGARD TO FERTILITY AND ENDOCRINE FUNCTION
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DOI：
10.1016/s0022-5347(17)55456-7
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发表时间：
1980-01-01
影响因子：
6.6
通讯作者：
MIKUZ, G
中科院分区：
文献类型：
--
作者：
BARTSCH, G;FRANK, S;MIKUZ, G
对 42 名在青春期前和青春期因单侧睾丸扭转接受扭转和固定的患者确定了后期结果。在 30 名已达到青春期后年龄的患者中测定了睾丸的外分泌和内分泌功能。症状出现后 8 小时或更短时间接受扭转固定的患者睾丸大小正常，睾丸形态仅有轻微变化。当延迟治疗并在 8 小时以上进行扭转时，观察到睾丸大小明显减小。扭转患者的外分泌功能[睾酮产生]降低。根据 2 次精液分析判断，15 名患者的精液质量正常，3 名患者的精液质量可疑，12 名患者的精液质量为病理性。即使在症状出现后 4 小时或更短时间内进行扭转，也只有 50% 的病例睾丸外分泌功能正常。在精子分析可疑和病理性的患者中，观察到较高的卵泡刺激素 [促卵泡素] 和黄体生成素 [lutropin] 水平。
Late results were determined for 42 patients who had undergone detorsion and fixation for unilateral testicular torsion in the prepubertal and pubertal age. Exocrine and endocrine function of the testes was determined in 30 patients who had reached postpubertal age. Patients who underwent detorsion and fixation 8 h or less after the onset of symptoms had normal-sized testicles and only slight changes in testicular morphology. When treatment was delayed and detorsion was done more than 8 h later, a marked decrease was observed in testicular size. The exocrine function [testosterone production] in patients with torsion was reduced. The semen quality, as judged by 2 semen analyses, was normal in 15 patients, doubtful in 3 and pathological in 12. Even when detorsion was done 4 h or less after the onset of symptoms, the exocrine function of the testes was normal in only 50% of cases. In patients with doubtful and pathological sperm analyses, higher follicle-stimulating [follitropin] and luteinizing hormone [lutropin] levels were observed.