睾丸扭转14例临床诊断与治疗

Diagnosis and Treatment of Testicular Torsion(A Report of 14 Cases)

目的:探讨提高睾丸扭转诊断及治疗水平的临床措施。方法:结合临床症状和体征确诊14例睾丸扭转;13例手术治疗,1例手法复位;结合文献对临床资料进行分析。结果:14例中13例行急诊睾丸探查术,1例行手法复位;8例行睾丸切除术,6例保留睾丸,睾丸切除率达57.1％;随访3～12月,复位睾丸及对测睾丸形态和功能正常。结论:对于睾丸扭转,早期诊断及早期开放手术是提高睾丸保留率的有效方法。

Objective:To study the diagnosis and treatment of testicular torsion and evaluate the therapeutic efficacy.Methods: 14 cases of unilateral testicular torsion diagnosed by symptoms and signs from December 1991 to December 2001 were reviewed. 13 cases were treated with operation and 1 cases had manual detorsion. The diagnosis and treatment were analysed. Results: Exploratory surgery were performed on 13 cases of unilateral testicular torsion. 5 cases underwent orchidopexy when the testis regained its blood supply after detorsion, and the other 8 cases had their necrotic testis cut. Only one case had manual detorsion. The testis - cut rate was 57. 1% (8/14). Conclusion: As for testicular torsion, early diagnosis and surgical exploration can improve the retention rate.