小儿急性睾丸扭转(附19例报告)

The diagnosis and treatment of acute testicular torsion in children (report of 19 cases)

目的 探讨小儿急性睾丸扭转的诊治方法。 方法 回顾分析 19例 5d至 13岁小儿急性睾丸扭转的发病、治疗和预后等临床资料。 结果 左侧睾丸扭转 15例 ,右侧扭转 4例 ;发病至就诊时间 3h～ 4d ;19例均接受手术治疗。 17例为鞘膜内扭转 ,其中 14个睾丸已坏死 ,行睾丸切除术 ;睾丸存活 3个 ,行睾丸固定术。 2例为鞘膜外扭转 ,睾丸均已坏死 ,行睾丸切除术。 结论 睾丸扭转是常见小儿阴囊急症 ,及早手术是避免睾丸坏死的关键。

Objective To explore the diagnosis,treatment and outcome of testicular torsion in children. Methods The clinical data (including the onset,treatment and prognosis) of 19 children of acute testicular torsion were reviewed.The age ranged from 5 days to 13 years. Results There were 15 cases of left side testicular torsion and 4 cases of right side.All of the 19 cases underwent operation.Seventeen cases were with intravaginal torsion,of these 14 testicles were removed for necrosis and only 3 testicles were salvaged by operative detorsion.Two cases were of extravaginal torsion with testicular necrosis and therefore were removed. Conclusions Testicular torsion is a common emergency of scrotum in children.Immediately operation after admission to hospital is the key treatment for salvage of the testicle.