睾丸扭转的诊断与治疗

Diagnosis and treatment of testicular torsion

[目的 ]提高睾丸扭转的诊治水平。 [方法 ]回顾性分析 1 4例睾丸扭转患者的临床资料。 [结果 ]早期误诊 1 0例。 1例隐睾扭转者行睾丸切除术 ;1 3例阴囊内睾丸扭转者中 ,4例手术复位 ,9例因睾丸坏死予以切除 (71 % )。 [结论 ]睾丸扭转误诊率高 ,一经诊断即应及时复位 。

To study the diagnosis and treatment of acute testicular torsion. Clinical data of 14 cases of testicular torsion were analyzed retrospectively. Ten patients had been misdiagnosed. Ten patients(71%) were undergone orchiectomy because of necrosis of the testicles, including 9 cases of intracrotal torsion and 1 case of crytorchidism with torsion. [Conclusions] Testicular torsion has to be diagnosed correctly on time and the detorsion has to be performed early. For diagnosis of testicular torsion color-Doppler ultrasonography image is a reliable method. In order to save the testicle with early surgical exploration orchidopexy might be mandatory to avoid recurrence.