睾丸扭转13例早期诊治分析

Early diagnosis and treatment of testicular torsion:a report of 13 cases

目的:探讨睾丸扭转的早期诊断和治疗方法,提高诊治水平。方法:13例睾丸扭转患者术前彩色多普勒提示患侧睾丸血流明显减少2例、血流消失11例,均行手术治疗。结果:13例患者经手术探查均为睾丸扭转,左侧10例,右侧3例;术中见扭转睾丸坏死11例、给予切除;见睾丸色泽转润2例,给予保留复位。结论:睾丸扭转的早期诊断甚为重要,冰帽外敷可能是挽救扭转睾丸坏死的方法之一,及早手术探查是保留扭转睾丸的关键。

Objective：To explore the early diagnosis and treatment of testicular torsion so as to improve the treatment efficacy.Methods：Color Doppler showed that the blood flow of the testis decreased obviously in 2 cases and disappeared in 11 cases.Thir teen cases of testicular torsion were treated by surgery.Results：All the 13 cases were proved to be testicular torsion by surgical exploration.Ten cases of testicular torsion occurred on the left side and 3 cases on the right.Necrosis was observed in 11 cases and the testis was removed;the testis of the other 2 cases changed red after reset and was reserved.Conclusions：Early diagnosis of testicular torsion is very important.External application of ice cap may be one of the ways to prevent necrosis of the reversed testis.Early surgical exploration is essential to retain the reversed testis.