睾丸扭转32例诊治体会

Experience of diagnosis and treatment in 32 cases with testicular torsion

目的探讨睾丸扭转的诊断及治疗方法。方法回顾性分析我科在2002年6月～2011年10月收治32例睾丸扭转患者的临床资料。结果手法复位1例。手术探查31例,其中8例保留患侧睾丸,行睾丸复位及固定术,23例行患侧睾丸切除术。所有患者均获得随访,随访时间1～2年。随访9例睾丸保留患者中,3例患侧睾丸不同程度萎缩。26例行精液分析,其中保留睾丸者例,睾丸切除8例出现精子密度减少,畸形精子数量增加。结论对于青少年患者发生阴囊急症,首诊医生应高度警惕睾丸扭转,早期诊断和及时手术复位是治疗本病的关键。

Objective To investigate the diagnosis and therapeutic methods of testicular torsion.Methods The clinical data was collected from 32 cases with testicular torsion from Jun 2002 to Oct 2011.A retrospective analysis was performed for the treatment of testicular torsion.Results Among 32 cases,one case accepted manual restoration,31 received conventional surgical exploration in which 8 cases underwent operative reduction and orchiopexy and the other 23 cases diseased side orchiectomy.Postoperative follow-up was performed in all cases and ranged from 12 months to 2 years.In the 9 cases of conserving testis,the diseased side testicular atrophy occurred in 3 cases.Among 32 cases,26 were carried out semon analysis.Six cases conserving testis and 20 cases undergoing orchiectomy had deformity rate of sperm increased and sperm density falling.Conclusion For the adolescent patients with acute scrotum edema,the first consultation doctor should be alert to testicular torsion.