双侧精索扭转6例诊治体会

Diagnosis and Treatment of Six Cases of Bilateral Testicular Torsion

目的:探讨精索扭转的诊断和治疗方法。方法:回顾性分析6例双侧精索扭转患者的诊断和治疗经验。结果:6例患者均为双侧发病。1例双侧睾丸同时扭转,5例双侧睾丸相继扭转;2例行单侧睾丸切除,其余扭转睾丸行复位固定。结论:精索扭转需早期诊断并及时手术探查行复位固定,患侧复位固定同时可行健侧固定,如不行健侧固定必须严密监测随访。手法复位可作为有益尝试。

Objective：To study the diagnosis and treatment of testieular torsion. Methods：The data of 6 cases of bilateral testicular torsion were retrospectively analyzed and discussed. Results： 6 cases were bilateral testicular torsion. 1 case of bilateral testicular torsion is at the same time, five cases of bilateral testicular torsion in succession, two routine unilateral orchiectomy, the remaining lines to reverse testicular fixation. Conclusions：Early diagnosis of testicular torsion and surgical exploration is needed , at the same time need Fixed contralateral. If not must be carefully monitored follow-up. Reduction techniques can be used as a useful attempt.