精索扭转的早期诊断与治疗分析

目的:探讨精索扭转的早期诊断和治疗方法,提高临床早期诊断和治疗水平。方法:回顾性分析34例精索扭转患者的临床诊断和治疗资料。结果:34例患者中5例发病时间在6小时内试行了手法复位,成功4例,彩超显示血流恢复;失败2例;手术探查30例。结论:对本病必须及早确诊,可通过详细病史、细致体格检查及适当的辅助检查明确诊断;对高度怀疑或不能完全排除应及时手术。

Objective：To investigate and im- prove the way of early diagnosis and treat- ment of testicular torsion. Method： 34 pa- tients medical records of testicular torsion are reviewed retrospectively. Result： 5 pa- tients were undergo manipulative reduction within 6 hours, 4 were succeed and blood supply rebuilt showed by the color Doppler Ultrasound; 2 failed; 30 patients underwent surgical reduction. Conclusion：It is necessa- ry of early diagnosis and treatment for testic- ular torsion. A detailed history, careful phys- ical examination and appropriate auxiliary examination are commended to confirm the diagnosis;for the patients of highly suspec- ted should undergo surgical reduction at the first time.