睾丸扭转临床分析

Clinical analysis of the testicular torsion

目的总结睾丸扭转的诊断与治疗体会，提高睾丸扭转的诊治水平。方法回顾性分析中国医科大学附属盛京医院泌尿外科23例睾丸扭转患者的临床资料，患者年龄14～25岁，平均16．8岁。左侧19例，右侧4例。发病至确诊时间2h～14d。结果23例行彩色多普勒血流动态显像（CDFI）检查，均提示睾丸无血流或血流减少。4例发病时间短或扭转程度轻经手法复位而保留睾丸；11例行探查复位固定术，术后复查彩超，睾丸血流恢复至正常。其余8例因睾丸已坏死而予以切除。结论有关男性青春期睾丸扭转的卫生知识的宣传与教育促使患者及时就诊至关重要；提高对本病的认识，仔细体检，及时进行相关的影像学检查，正确进行早期诊断和处理是提高疗效的关键。

Objectives To summarize the diagnosis and treatment of the testicular torsion and to improve its managment. Methods The clinical data of 23 cases （mean age, 16. 8 years;age range, 14 -25 years） of the testicular torsion were analysised retrospectively in the department of urology Shengjing Hospital of China Medical University. Among them, 19 cases had the lesion on the left testicle, and 4 cases on the right. The time from onset to a definite diagnosis was 2h - 14d. Results Color Doppler flow imaging using in 23 cases showed that 23 testicles had no or little blood . There were 4 testicles with short time or incomplete torsion salvaged by detorsion by hand, which have the normal blood flow of image after the detorsion. 11 cases performed exploration and operative detorsion and orchiopexy, post operation the Color Doppler flow imaging of the onset testicles return normal in all the 11 cases. 8 testicles removed for testicular necrosis. Conclusions The dissemination and education about testicular torsion in the period of male puberty are very important, which can make the patients go to the clinic timely;It＇s the key point to improve the treatment effect that doctors can improve their recognition about diseases, do the body examination carefully, do several relative radiological examination timely, and give the early diagnosis and treatment correctly.