睾丸扭转诊断与治疗

The diagnose and treatment of testicular torsion

目的提高睾丸扭转的早期诊断水平。方法总结12例睾丸扭转临床病例,并结合文献进行回顾性分析。结果 12例患者均经手术或病理确诊为睾丸扭转,3例经手术复位治愈。9例睾丸切除和对侧睾丸固定。睾丸坏死于发病时间和扭转程度成反比。4例患者睾丸扭转时间小于12h且扭转程度小于270°,仅1例坏死。8例扭转超过12h且扭转程度大于360°的患者睾丸均坏死。结论提高本病诊治的关键是早期诊断,早期治疗,对怀疑睾丸扭转者主张尽早手术探查。

Objective To improve the diagnosis and treatment of testicular torsion. Methods 12 cases of testicular torsion treated from January 2008 to January 2011 were reviewed, and analyzed with combination of the literature. Results The diagnoses of testicular torsion were confirmed by surgical operation or pathological examination in all 12 patients. For 4 cases whose duration was less than 12 hours the blood suppy of testis could be restored after detorsion and the testes were survived in 3, and 1 testis was excised. For those with duration more than 12 hours all the testes except lwere confirmed necrotic and underwent resection of the testes and pro- phylacticorehidopexy of the eontralateral testes. Conclusion CDFI should be the treatment of the choices for testieular torsion. Surgical exploration must be performed as soon as possible for highly suspected cases.