精索扭转误诊24例分析

The misdiagnoses of testicular torsion (Report of 24 cases)

目的 :分析精索扭转误诊的原因及教训 ,提高临床医生对该病的认识水平与警惕性 ,以减少误诊的发生。方法 :对 2 4例外院误诊的精索扭转病例进行回顾性分析。结果 :2 4例患者均经手术证实为精索扭转 ,因未能及时诊断 ,延误时机而切除缺血坏死的睾丸。结论 :彩色多普勒血流动态显像应作为诊断该疾病的常规与首选检查方法 ,对精索扭转一旦确诊或疑有精索扭转的患者应及早行紧急复位 ,以期挽救睾丸。同时行睾丸固定术也十分必要 ,对于确诊毫无保留价值的睾丸需行切除。

Purpose:To analyze the cause of misdiagnoses of testicular torsion and improve the diagnostic level. Methods:A retrospective analysis was made about 24 cases of the testicular torsion which there were misdiagnoses by other hospitals from 1994. Results:The testicles in 24 cases with identified testicular necrosis were removed by operation because of the misdiagnoses and delaying of the valuable operation period of testicular survival. Conclusions:Understanding of the characteristics of testicular torsion is the key to the improvement of the diagnosis of this disease. Color Doppler flow imaging (CDFI) should be considered the primary diagnostic approach for scrotal emergencies. In order to raise the testicle survival rate, immediate operative exploration is recommended when the diagnosis is clear or testicular torsion is suspected. It is necessary to perform orchidopexy promptly and orchidectomy when testes are of no use.