睾丸扭转25例诊治体会

Diagnosis and treatment of testicular torsion(report of 25 cases)

目的总结睾丸扭转的诊治经验。方法回顾性分析25例睾丸扭转的临床诊治资料。结果1例手法复位成功,1例手法复位失败,9例行睾丸复位固定术,16例行坏死睾丸切除术。结论彩色多普勒超声成像是诊断睾丸扭转的首选方法;应高度重视睾丸钟-摆畸形(Bell-clapper deformity,BCD)患者,提高间歇期或扭转早期的诊断率。早期诊断,及时治疗是提高疗效的关键。

[Objective] To evaluate the diagnosis and treatment of testicular torsion. [Mothods] The clinical data of 25 cases of testicular torsion were reviewed and reported. [Result] In the 25 cases, one patient was successfully treated with manual reduction, one patient was failed to cure with manual reduction, 9 testicles were salraged by reduction of torsion and orchiopexy, 16 necrotic testicles were resected through orehiectomy. [Conclusion] Color Doppler Sonography （CDFI） is the first choice of diagnostic method for acute testicular torsion BCD tends to develop testicular torsion. Careful attention should be given to patients with intermittent testicular pain so as to improve the early diagnostic rate. Early diagnosis and timely treatment are key of improving therapeutic effect.