睾丸脱位六例诊断及治疗分析

Diagnosis and Therapeutic Regimen of Testicular Dislocation:Analysis of 6 Cases

目的探讨创伤性睾丸脱位的诊断及治疗方案的选择。方法对6例创伤性睾丸脱位患者的，临床资料进行回顾分析。结果6例患者首次就诊确诊仅1例。2例受伤早期（2h和3d）行手法复位成功；3例伤后1～6个月的患者行切开复位及睾丸固定；1例脱位于腹腔内的患者，睾丸萎缩，行睾丸切除。结论睾丸脱位漏诊率高，结合病史及体检可以早期确诊。受伤早期可首选手法复位，若手法复位不成功应尽早行切开复住；陈旧性病例，切开复位的时机宜选择在创伤3个月后；对于脱位时间较长，发生萎缩或可疑恶性变者，应行睾丸切除。

Objective To probe into the diagnosis and therapy of traumatic testicular dislocation, Methods Retrospective analysis was done on six cases with traumatic testieular dislocation. Results Only one of the six cases was given final diagnosis on their first visit. 2 cases were treated with closed reduction in the early phase （within 2 -3 hours） after injury. 3 cases were given open reduction and testis fixation in 1 - 6 months after injury. One case with abdominal testieular dislocation and testieular atrophy was treated with orehieetomy. Conclusion The rate of missed diagnosis of testieular dislocation is quite high, which can certainly be decreased by review of case history and physical examination, manipulative reduction should be the first choice in the early phase after injury. For obsolete cases, surgical reduction should be done within 3 months after injury, and for cases with long -term dislocation, testis with atrophy and suspected -eaneeration should be given orehieetomy.