睾丸扭转的诊断和治疗

Diagnosis and Treatment of Testicular Torsion

目的提高睾丸扭转的诊治水平。方法对32例睾丸扭转患者的临床资料进行总结。32例皆有睾丸绞痛症状，Prehn征阳性30例。28例行彩色多谱勒超声（CDU）检查，均显示睾丸附睾在阴囊内位置改变，睾丸血流减少或消失。结果8例6h以内手术者，7例睾丸存活；6例6—10h手术者，2例睾丸存活；3例10-24h内手术者，仅1例存活；15例超过24h手术者，无1例存活。结论CDU检查对睾丸扭转早期诊断很有帮助。早期诊断、及时治疗是提高疗效的关键。

Objective To improve the levels of diagnosis and treatment of testieular torsion. Methods The clinical data of 32 cases of testieular torsions were summarized and analyed. All the 32 eases had the essential clinical symptom of colic in testis, and 30 cases had the positive Prehn＇ s sign. 28 eases were examined by color doppler ultrasound（CDU）and showed that the pesitions of testis and epididymis were changed in scrotum and the blood supply was reduced clearly or disappeared. Results of 8 cases who received operation within 6 hours from attack time 7 had testicular survival, of 6 cases who received operation with 6 to 10 hours from attack time only 2 had testicular survival, of 3 cases who received operation within 10 to 24 hours from attack time only 1 had testicular survival . None of 15 cases who had operation more than 24 hours from attack time had testicular survival. Conclusion CDU is helpful to make diagnosis of early testicular torsion. Early diagnosis and timely operation are key to improving therapeutic effect.