睾丸扭转的诊断和治疗

Diagnosis and treatment of testicular torsion

目的 总结睾丸扭转的诊断和治疗经验。方法 对 2 2例临床初诊为睾丸扭转的患者行彩色多普勒超声 (CDU)检查 ,均行手术探查、睾丸切除或睾丸复位固定术。结果 2 2例患者均经CDU确诊为睾丸扭转。 6例行睾丸固定术 ,1 6例行患侧睾丸切除和对侧睾丸固定术。 6例手术复位者随访 1～ 8年 ,睾丸萎缩 2例。结论 CDU诊断睾丸扭转正确率高。早期手术探查对提高睾丸存活率有重要意义。

Objective To review the diagnosis and treatment of testicular torsion.Methods 22 patients with suspected torsion of testis were examined by color Doppler ultrasound(CDU).All patients had been undergone orchiectomy or scrotal orchidopexy.Results The diagnosis of testicular torsion in all 22 cases was assessed on CDU.16 cases had been undergone orchiectomy and contra lateral orchidopexy.6 cases had been undergone surgical detorsion and orchidopexy.6 scrotal orchidopexy had been performed.During the follow up (1～8 years) the testicle in 4 of which appeared viable and normal while testicular atrophy had been observed in 2 cases.Conclusions The accurate rate of CDU in diagnosing testis torsion is high. In order to save testicle, early surgical exploration orchidopexy may be mandatory to avoid recurrence.