睾丸扭转38例诊治分析

Diagnosis and Treatment of Testicular Torsion:a Report of 38 Cases

目的:总结睾丸扭转的诊治经验,以提高睾丸扭转诊断及治疗水平。方法:对38例睾丸扭转患者的临床资料进行回顾分析。结果:38例患者,15例首诊明确诊断,23例首诊误诊。发病至确诊小于10h者,15例手术存活,1例手法复位存活。超过10h者,仅2例存活。结论:对青少年急性阴囊疼痛患者应仔细体检,采用彩超检查,早期明确诊断、及时治疗是提高扭转睾丸救治率的关键。

Objective：To summarize the clinical experience of the diagnosis and treatment of testicular torsion. Methods： The clinical data of 38 testicular torsion cases were analyzed retrospectively. Results： Among 38 cases, 15 cases were diagnosis as testicular torsion correctly at the first consultation, but 23 cases were misdiagnosed. 16 cases who suffered testieular torsion within 10 hours had testicle survival, among which, 15 cases were undergone orchiectomy and prophylactic contralateral orchidopexy. One undergone manual reduction. 22 cases who suffered testicular torsion more than 10 hours, only two had testicle survival,and the others were suffered from orchiectomy and prophylactic contralateral orchidopexy. Conclusions： When the teenagers have acute scrotum pain, early correct diagnosis and treatment are crucial to rescue the testis, this can be made by carefully clinical physical examination and scrotum doppler ultrasonography.