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睾丸扭转36例误诊分析 被引量:3

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摘要 目的探讨睾丸扭转误诊原因与对策,降低误诊。方法回顾性分析36例首诊误诊的睾丸扭转患者的诊治资料。结果36例患者睾丸扭转时间均〉6h,33例误诊为急性睾丸炎、附睾炎。经行彩色多普勒检查睾丸内血流明显减少或消失。31例因睾丸坏死予以切除,1例扭转时间12h,1例扭转36h,1例扭转时间2d,行复位固定,均睾丸存活,2例患者拒绝手术行保守治疗,随访1~5年,1例因睾丸化脓性炎而将患睾切除,1例发生睾丸萎缩。结论睾丸疼痛需高度重视,彩色多普勒血流显像可明确诊断。早期手术探查有利于提高睾丸存活率。
出处 《实用临床医学(江西)》 CAS 2009年第3期58-59,共2页 Practical Clinical Medicine
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