睾丸扭转的外科治疗及误诊分析

The surgical treatment and misdiagnosis of testicular torsion

目的提高睾丸扭转的诊断和治疗水平。方法回顾性分析56例睾丸扭转患者的临床资料,52例手术探查,行睾丸切除或睾丸复位固定,健侧睾丸固定。4例未手术。结果22例患者经B超及CDFI确诊为睾丸扭转,34例误诊。20例患侧睾丸切除。32例睾丸保留,其中8例萎缩。结论对于青少年患者阴囊急症,首诊医生应高度警惕睾丸扭转,可疑时立即行B超及CDFI检查,避免延误诊治。及时手术探查是提高睾丸成活率的关健。

Objective To improve the diagnosis and treatment of testicular torsion. Methods A retrospective analysis of clinical data of 56 cases of testicular torsion was made and the experience on its diagnosis and treatment was summed up. 52 cases had been undergone orchiectomy or scrotal orchidopexy. Results The diagnosis of testicular torsion in 22 cases was assessed on CDFI The other 34 cases were misdiagnosis. 20 cases had been Undergone orchiectomy and contra-lateral orchidopexy. 32 cases had been undergone surgical detorsiohand orchidopexy,8 cases were atrophy. Conclusion Male patients less than 25 years of age,especially during adolescence,presenting with a tender testicle,were more likely to have testicular torsion rather than epididymitis. With CDFI testieular torsion has more chances to be diagnosed correctly on time. The prompt surgical exploration has to be Performed in all cases to avoid serious outcomes.