睾丸扭转8例临床分析

Clinical analysis of 8 cases with testicular torsion

目的提高睾丸扭转的诊治水平。方法回顾性分析8例睾丸扭转患者的临床资料。结果5例首诊时误诊为急性附睾炎,7例经阴囊彩超确诊,1例经手术探查确诊。8例均予以手术治疗,6例行患侧睾丸切除,2例保留患侧睾丸,而对侧睾丸均行预防性固定。随访一年,2例保留的睾丸未发现萎缩及再次扭转,对侧睾丸均无扭转发生。结论睾丸扭转和急性附睾炎在临床表现上难以鉴别,彩超检查为确诊的首选方法。一旦疑诊睾丸扭转均应手术探查,以提高睾丸的存活率。

Objective To improve the diagnosis and therapy of testicular torsion. Methods Clinical data of 8 cases with testicular torsion were analyzed retrospectively. Results 5 of the 8 cases were misdiagnosed as acute epididymitis firstly, 7 of the 8 cases got final correct diagnosis with colour ultrasound, and the other one case was finally diagnosed through operation research. All the 8 cases were treated with surgical operations. The torsional testes were resected in 6 cases and remained in the other 2 cases, All the testes of the opposite sides were fixed to prevent repeated torsion, After a follow-up of one year, there existed no atrophy in the remained 2 testes and no repeated torsion in the testes of the opposite sides. Conclusion It is difficult to differentially diagnosed the testicular torsion from acute epididymitis only through symptoms. The colour ultrasound is the first choice to differentiate them precisely, Once a patient is suspiciously diagnosed as testicular torsion, he will be treated with operation research to improve the survival rate of the torsional testes.