睾丸扭转患者组织活力评估的研究进展

Research progress in evaluating tissue vitality in patients with testicular torsion

睾丸扭转又称精索扭转,是青少年时期最常见的泌尿系急症之一。精索扭转导致睾丸组织血流供应减少,引起睾丸组织的缺血萎缩,甚至坏死;表现迟缓或未能正确诊断和处理,常常会导致患侧睾丸丢失,引起男性不育等症状。睾丸扭转疾病常需要通过紧急处理,包括急诊手术探查、复位和睾丸固定,以尽早恢复睾丸组织血流,挽救睾丸。本文对术中扭转睾丸组织活力的判断作一综述,提高临床医师对扭转睾丸挽救的水平。

Torsion of testis,also known as testicular torsion,is one of the most common urinary tract emergencies in adolescents.Torsion of the spermatic cord can reduce the blood supply to testicular tissue and cause ischemic atrophy and even necrosis of testicular tissue.Delayed presentation or failure to properly diagnose and manage often results in the loss of the affected testicle,causing symptoms such as male infertility.Testicular torsion disease often requires emergency management,including emergency surgical exploration,reduction,and testicular fixation,to restore blood flow to the testicular tissue as soon as possible.This article reviews the evaluation of testicular tissue vitality during operation to improve the level of salvage of testicular torsion by clinicians.