睾丸扭转的误诊分析

Misdiagnosis of Testicular Torsion

目的 分析睾丸扭转的误诊原因 ,以期减少误诊的发生。方法 分析 59例睾丸扭转患者中 37例首次就诊时误诊者的临床资料。结果 大多患者的病史和临床表现足以提供诊断依据 ,辅助检查和手术探查有助于本症的诊断。首诊误诊组丧失睾丸的比例明显高于及时确诊的患者 ( 35/37对 6 /2 2 ,P<0 .0 5)。结论 睾丸扭转误诊危害极大 ,误诊的主要原因是对该症缺乏足够的认识。

Objective To analyse the reason of misdiagnosis of testicular torsion.Methods It was analyzed retrospectively that the clinical materials of the patients with testicular torsion who underwent misdiagnosis when sought for medical advice at first time.Results According to the medical history and clinical manifestation, the correct diagnosis could be made in most patients, and the misdiagnosis patients had a much higher risk of losing the sick testis(35/37vs 6/22,P<0.05).Conclusions The most reason of misdiagnosis of testicular torsion was the insufficient knowledge of this disease, while it would result in serious outcome.