睾丸扭转的诊治探讨(附14例报告)  

Diagnosis and treatment of teslicular torsion(A report of 14 cases)

作　　者：高嵩[1] 马新红[1] 臧光辉[1] 徐彦[1] 

机构地区：[1]山东省烟台市莱阳中心医院泌尿外科,莱阳265200

出　　处：《江西医药》2005年第8期445-446,共2页Jiangxi Medical Journal

摘　　要：目的总结睾丸扭转的诊治经验。方法回顾性分析14例睾丸扭转患者的临床资料。结果早期误诊9例。9例睾丸坏死予以切除(64%)。5例手术复位,随访6个月有2例睾丸萎缩。彩色多普勒超声检查的准确率为87.5%。结论彩色多普勒超声检查是诊断急性睾丸扭转的可靠方法,早期手术探查对提高睾丸存活率有重要意义。Objective To evaluate the diagnosis and treatment of testicular torsion. Methods Clinical data of 14 cases of testicular torsion were analyzed retrospectively. Results Nine patients were misdiagnosed. Patients （64%） underwent orchieetoray because of necrosis of the testicles. The testicles of 5 eases were salvaged by operative detorsion and during the followed up （6 months）the testicle in 3 of which appeared viable and normal while teslieular atrophy has been observed in 2.The accuracy rate of color ultrasonic examination was 87.5%.Conclusion Color-Doppler uhrasonography is a reliable method for the diagnosis of testieular torsion.ln order to save the testicle with surgical exploration orchidopexy might be mandatory to aviod recurrence.

关 键 词：睾丸扭转 诊断 治疗 

分 类 号：R697.22[医药卫生—泌尿科学]