睾丸扭转的诊断及治疗

Diagnosis and Treatment of Testicular Torsion(Report of 16 Cases)

目的提高睾丸扭转的诊治水平。方法回顾性分析总结16例睾丸扭转的临床资料。结果16例均经彩色多谱勒血流成像(ColorDopplerultrasonicsflowimage,CDFI)确诊为睾丸扭转,2例经手法复位,5例经手术复位固定,9例行睾丸切除加对侧睾丸固定。11例获0.5～4.5年随访,手法复位者1例再次发生扭转,经手术复位治愈。结论CDFI是诊断急性睾丸扭转的可靠方法,早期诊断、及时手术探查是提高睾丸存活率的关键,术中应同时固定对侧睾丸。

Objective To improve the diagnosis a nd treatment of testicular torsion.Methods Clinical date for16cases of test icular torsion treated from July1994to August2001were reviewed.Results The diagnosis of testicular torsion in all the16cases was assessed correctly b ased on color Doppler ultrasonics flow image(CDFI).2cases were cured by manu al detorsion,5by surgical detorsion and orchidopexy and9by orchiectomy plus contralateral orchidopexy.11cases of them were followed up for six months to four and half years,only one case manua detorsion occurred torsion again.Conc lusions CDFI is a reliable method for diagnosis of testicular torsion.Early d iagnosis and ascertainment is a key to improve livability of testicle,contrala teral testicle should be performed preventive orchidopexy.