睾丸扭转的诊治

The diagnosis and treatment of testicular torsion

目的探讨睾丸扭转的诊断及治疗方法,以提高本病患者睾丸存活率。方法分析30例睾丸扭转患者的临床资料。结果30例中,初诊确诊为睾丸扭转者18例,误诊为急性附睾炎12例,均行彩色多普勒超声检查以明确诊断,彩超诊断符合率100%;30例患者均行手术探查,16例因扭转时间短,扭转程度轻,行睾丸复位、固定手术,14例行患侧睾丸切除术,所有病例均行对侧睾丸探查、固定术,30例均痊愈出院。结论彩超是该疾病的首选检查方法,早期诊断,及时手术探查是患侧睾丸存活关键,睾丸扭转12h以内均应行睾丸复位固定术,12～24h者应尽量保留睾丸。>24h者应手术切除。

Objective To evaluate the diagnosis and treatment of testicular torsion,and to improve the testis survival rate. Methods The clinical data of 30 cases of testicular torsion were analyzed.Results In the 30 cases of testicular torsion,18 cases were definitely diagnosed at first visit,and the other 12 cases were misdiagnosed as acute epididymitis.All the 30 cases underwent color Doppler ultrasonography,and operations research.The diagnose accordance rate of color Doppler ultrasonography accounted for 100%.16 cases were salvaged by orchidopexy,and 14 cases were treated with orchiectomy.The contralateral testis was per- formed preventive orchiopexy for all subjects.All the 30 cases were cured and discharged.Conclusion The color Doppler ultra- sonography is the first choice of diagnosing testicular torsion.Early diagnosis and prompt operation research is the key of survival of injured testis.The orchidopexy should be performed within 12 h after testicular torsion.The injured testis should be retented as possible within 12-24 h after testicular torsion.The orchiectomy should be carried out 24 h or longer after testicular torsion.