精索扭转的诊断和治疗(附14例报告)

Diagnosis and treatment of spermatic cord torsion (Report of 14 cases)

目的:探讨精索扭转的诊断和治疗方法。方法:结合文献复习,回顾性总结14例精索扭转的临床资料。结果:8例术前彩色多普勒超声检查(CDS)诊断并经手术证实,符合率100％。经手术探查,4例行手术复位、固定,睾丸获救,10例行患侧睾丸切除术,所有病例均行对侧探查、固定。结论:CDS是诊断急性精索扭转的首选方法,治疗上应尽快手术探查、复位并做预防性固定。

Purpose; To evaluate the diagnosis and treatment of testicular torsion. Method: The clinical data of 14 cases of testicular torsion were respectively reviewed. Result: Color Doppler ultrasonography (CDS) made the definite diagnosis of testicular torsion in 8 cases which were proved by surgery. Ipsilateral testicles in 10 cases were removed and the testicles in other 4 cases were salvaged by surgical detorsion and orchiopexy and all contralateral testicles were performed preventive orchiopexy Conclusion: CDS was the first choice of diagnostic method for acute testicular torsion and surgical invention and detorsion and orchiopexy shoule be performed as soon as early.