摘要
目的提高睾丸扭转的诊断和治疗水平。方法回顾性总结45例睾丸扭转患者的诊治资料。结果首诊误诊l9例。43例阴囊内睾丸扭转患者中,行睾丸固定术17例,睾丸切除术26例;2例隐睾扭转患者行病睾切除术。结论睾丸扭转常造成睾丸丢失,对于阴囊急诊,应首先警惕睾丸扭转可能;彩色多普勒超声是目前睾丸扭转的首选辅检方法;在无法肯定排除睾丸扭转时,应进行手术探查。
Objective To improve the diagnosis and treatment of testicular torsion. Methods The clinical data of 45 cases of testicular torsion were analyzed retrospectively. Results Nineteen patients were misdiagnosed on their primary visit. 28 underwent orchiectomy because of necrosis of the testicle, including 26 intrascrotal torsion and 2 crytorchidism with torsion. The other 17 were treated by orchidopexy. Conclusions The manifestation of testicular torsion can be confusing with other acute scrotum. When a sudden acute scrotum pain occurres in an adolescent, the testicular torsion must be considered until proved otherwise. Color Doppler uhrasonography is the key to the diagnosis. Timely surgical exploration should be performed in the cases of acute scrotal problem suspected of testicular torsion.
出处
《徐州医学院学报》
CAS
2008年第2期111-114,共4页
Acta Academiae Medicinae Xuzhou
关键词
睾丸扭转
诊断
彩色多普勒超声
治疗
testicular torsion
diagnosis
color Doppler ultrasonography
treatment
