Kết quả điều trị chấn thương tinh hoàn tại Bệnh viện Việt Đức năm 2017-2022

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Tác giả: Hoài Bắc Nguyễn, Hữu Thảo Nguyễn, Quang Nguyễn, Ngọc Lợi Phạm

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng 2023

Mô tả vật lý: 69-73

Bộ sưu tập: Metadata

ID: 407759

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Mô tả một số đặc điểm lâm sàng và kết quả điều trị chấn thương tinh hoàn tại Bệnh viện Việt Đức năm 2017 đến năm 2022.Đối tượng và phương pháp: Thiết kế nghiên cứu mô tả cắt ngang, hồi cứu qua hồ sơ bệnh án, kết quả khám lại của những bệnh nhân chấn thương tinh hoàn được điều trị tại bệnh viện Việt Đức từ tháng 1/2017 đến tháng 6/2022.Kết quả: Nghiên cứu hồi cứu 61 bệnh nhân. Độ tuổi trung bình là 27,28 (±12,74). Nguyên nhân chấn thương tinh hoàn chủ yếu do tai nạn giao thông chiếm 45,9%. Tỷ lệ chấn thương tinh hoàn một bên là 86,9%. Tỷ lệ điều trị ngoại khoa là 72,1% trong đó có 13 trường hợp cắt tinh hoàn. Kết quả sau điều trị có 17,86% trường hợp giảm kích thước tinh hoàn, có 5,4% trường hợp giảm testosterone sau điều trị, có 24,5% trường hợp có kết quả tinh dịch đồ giảm số lượng, chất lượng tinh trùng, có 14,3% bệnh nhân tái khám được ghi nhận tình trạng đau tinh hoàn kéo dài trên 2 tuần sau chấn thương.Kết luận: Chấn thương tinh hoàn thường gặp ở người trẻ tuổi, nguyên nhân phần lớn do tai nạn giao thông, phương pháp điều trị chủ yếu là ngoại khoa. Chấn thương tinh hoàn có thể gây ảnh hưởng tới chức năng nội tiết và ngoại tiết của tinh hoàn., Tóm tắt tiếng anh, To describe some clinical characteristics and treatment results of testicular trauma at Viet Duc Hospital from 2017 to 2022.Material and Methods: Design of a cross-sectional, retrospective descriptive study through medical records, re-examination results of testicular trauma patients treated at Viet Duc hospital from January 2017 to June 2022.Results: Retrospective study of 61 patients. The mean age was 27.28 (±12.74). The main cause of testicular trauma was traffic accidents, accounting for 45.9%. The rate of unilateral testicular injury was 86.9%. The rate of surgical treatment was 72.1%, including 13 cases of orchiecto-my. Results after treatment, there were 17.86% cases of testicular size reduction, 5.4% cases of decreased testosterone after treatment, there were 5.4% cases of decreased testosterone after treatment, there were 24.5% of cases had results of semen analysis with a decrease in sperm count and quality, there were 14.3% of patients at follow-up examination recorded testicular pain lasting more than 2 weeks after injury.Conclusion: Testicular trauma is common in young people, mainly caused by traffic accidents, the main treatment method is surgery. Testicular trauma can affect the endocrine and exocrine functions of the testicles.

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