睾丸扭转21例临床分析

Clinical analysis about 21 patients with testicular torsion

目的探讨睾丸扭转的诊断及治疗方法。方法对21例睾丸扭转患者的临床资料进行回顾性分析。结果本组21例中8例发病≤24 h者睾丸均获挽救,3例发病≥24 h者勉强保留睾丸,术后发生睾丸萎缩,其余10例均切除睾丸。结论睾丸缺血坏死不仅与扭转程度有关,还与扭转持续时间长短有关;正确诊断和及时手术治疗可挽救睾丸功能,防止并发症的产生。

Objective To investigate the methods of diagnosis and treatment in testicular torsion. Methods The clinical data of 21 patients with testicular torsion was retrospectively analized. Results The testicles in 8 patients out of 21 patients with testicular torsion,the time of occurrence of testicular torsion was ≤24 h,were survival. The testicles were constrainedly reserved in 3 patients the time of occurrence of testicular torsion 924 h, and post-optative orchiatrophy were occurrence in 3 patients. The testicles in other 10 patients were resected. Conclusion The testicular ischemic necrosis is correlation with degrees and persistence time of testicular torsion. Correct diagnosis and operation in time could save the function of testicle and prevent from occurrence of complications.