睾丸精索扭转的诊断与治疗(附18例报告)  

Diagnosis and Treatment of Testicular Torsion and Spermatic Cord Torsion (a Report of 18 Cases)

作　　者：赵卫[1] 杨剑波[1] 宋杰[1] 

机构地区：[1]江苏省海门市人民医院泌尿外科,江苏海门226100

出　　处：《中国临床医学》2009年第2期242-243,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:总结睾丸精索扭转的诊断及治疗方法。方法:回顾分析18例睾丸精索扭转患者的临床资料。患者年龄1～49岁,平均20.5岁,其中小于25岁者14例,占78%。左侧12例,占67%。发病至确诊时间5h-2周。结果:初诊误诊14例。18例均行手术治疗,5例扭转时间短,睾丸血运良好者手术后保留睾丸,13例因睾丸已坏死,行睾丸切除术。17例为鞘膜内扭转,1例为鞘膜外扭转。结论:彩色多普勒血流动态显象检查(CDFI)是急性精索扭转早期诊断可靠方法;手术探查是提高睾丸存活率的重要手段。Objecive：To summarize the experience of diagnosis and treatment of testicular torsion and spermatic cord torsion. Methods：The clinical data of 18 cases of testicular torsion and spermatic cord torsion were summarizd and analyzed retrospectively.Mean age of the patients was 20.5 years,with 78% of which occurring in patients younger than 25 years and 67% in the left side,the elapse of time from onset to a definite diagnosis was 5h-2w.Results：The initial diagnosis of 14 cases were misdiagnosed. Surgical examination was carried out in 18 cases,resection of the testis and epididymis was performed in 13 cases.Conclusion： The color doppler flow imaging （CDFI） is the reliable method for the early diagnosis of torsion of the spermatic cord. Surgical examination of the scortum is the best option for the improvement of survival rate of testicle.

关 键 词：精索扭转 诊断 治疗 

分 类 号：R697.2[医药卫生—泌尿科学]