撒哈拉以南非洲睾丸扭转:范围审查

IF 0.5 Q4 UROLOGY & NEPHROLOGY
Saleh Abdelkerim Nedjim, Marcella D. C. Biyouma, Mahamat Ali Mahamat, Arthur Douglas, Orgeness Jasper Mbwambo, Mohamed Mbarouk, Remadji Yanhdet Hervé, Mahamane Salissou, Messian Gallouo, Aboubacar Traoré, ZIBA Ouima Justin Dieudonné, Yannick Joël Djoua, Ugbede Oyibo, Kimassoum Rimtebaye, Choua Ouchemi, Fru Fobuzshi Angwafor
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引用次数: 0

摘要

摘要睾丸扭转是由于睾丸血管蒂绕其轴旋转而引起的外科急症。如果不及时治疗,睾丸坏死可能会发生,需要切除睾丸并失去睾丸。本文的作者回顾了在撒哈拉以南非洲发表的关于睾丸扭转的文章。这项工作的目的是建立患者档案,咨询延迟和睾丸切除术率在撒哈拉以南的背景下。该综述的数据将与非撒哈拉以南地区的大型系列和期刊进行比较。选取23篇文章进行综述。所有这些文章都发表于1985年至2022年之间。共纳入1410例患者。平均年龄为19.7岁。大多数患者来自城市地区。9篇出版物确定了扭转的危险因素。住院方式各不相同。急性阴囊疼痛为主要症状。从出现症状到就诊的平均小时数为52.5 h,左侧病变占46.04%,右侧病变占49.81%。4位作者报告转诊到健康中心,8位作者报告阴囊超声检查。在21篇出版物中发现了睾丸切除术的发生率,整个综述的平均值为46.4%,极值为13.2和72%。在报告首次转诊到医疗中心(患者转移)的研究中,睾丸切除术率为52.4%,而在没有报告的研究中,这一比例为36.9%。在报告超声的研究中,睾丸切除术率为52.5%,而未报告超声的研究为36.9%。在这些结果的基础上,我们可以制定以下建议和行动:(i)在撒哈拉以南国家进一步研究这种病理学;(ii)提高公众对这种病理的认识;对社区工作者和保健中心管理人员进行培训和再培训;(iv)培训全科医生和外科医生进行紧急阴囊切开术、睾丸切除术和睾丸切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Testicular torsion in Sub-Saharan Africa: a scoping review
Abstract Testicular torsion is a surgical emergency caused by rotation of the vascular pedicle of the testicle around its axis. If left untreated, testicular necrosis can set in, necessitating orchiectomy and loss of the testicle. The authors of this article reviewed articles on testicular torsion published in sub-Saharan Africa. The aim of this work is to establish the patient profile, consultation delay and orchiectomy rate in the sub-Saharan context. Data from the review will be compared with large non-sub-Saharan series and journals. Twenty-three articles were selected for review. All these articles were published between 1985 and 2022. A total of 1410 patients were included in the review. The average age was 19.7 years. The majority of patients were from urban areas. Risk factors for torsion were identified in 9 publications. The mode of hospital admission varied. Acute scrotal pain was the main symptomatology reported. The mean time in hours between onset of symptoms and consultation was 52.5 h. The left side was affected in 46.04% and the right in 49.81%. Four authors reported referral to a health center, and 8 authors reported scrotal ultrasonography. The rate of orchiectomy performed was found in 21 publications, the mean for the review as a whole was 46.4% with extremes of 13.2 and 72%. The orchiectomy rate was 52.4% in studies that reported an initial referral to a health center (patient transfer), versus 36.9% in studies that did not. In studies reporting ultrasound, the orchiectomy rate was 52.5%, compared with 36.9% in those not reporting ultrasound. On the basis of these results, we can formulate the following recommendations and actions: (i) further study of this pathology in sub-Saharan countries; (ii) raise public awareness of this pathology; (iii) train and retrain community workers and health center managers; and (iv) train general practitioners and surgeons in emergency scrototomy, orchidopexy and orchidectomy.
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来源期刊
African Journal of Urology
African Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.00
自引率
0.00%
发文量
58
审稿时长
9 weeks
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