睾丸扭转早期诊断和治疗方法选择  

Early diagnosis and treatment in testicular torsion

作　　者：王斌[1] 张仁科[1] 宋希双[1] 姜涛[1] 

机构地区：[1]大连医科大学附属第一医院泌尿外科,辽宁大连116011

出　　处：《大连医科大学学报》2009年第6期698-699,713,共3页Journal of Dalian Medical University

摘　　要：[目的]探讨睾丸扭转的早期诊断和治疗方法选择价值。[方法]回顾性分析31例睾丸扭转疑诊病例,并结合文献进行分析。[结果]31例患者年龄为12~27岁,平均16岁,2例经过镇痛治疗后自行复位,29例行手术治疗,其中27例手术证实为睾丸扭转,1例术中探查为急性附睾炎,1例为急性睾丸炎。睾丸扭转患者中有26例绕精索旋转180°~720,°1例绕着与精索垂直的轴线旋转180°。彩色多普勒超声检查准确率为89.5%,Prehn征（＋）。[结论]对突发睾丸疼痛应常规行彩色多普勒超声检查,手法复位不可靠,若怀疑为睾丸扭转,应急诊手术探查。[ Objective ] To evaluate the value of early diagnosis and treatment in testicular torsion. [ Methods ] The clinical data of 31 patients with suspected testicular torsion were retrospectively analyzed to summarize the diagnostic experiences. [ Results ] The 31 patients were 12 - 27 years old,29 cases were treated by surgery and 2 cases by spontaneous detorsion under anesthesia. Among them,27 cases were proved to be testicular torsion and 1 case was acute epididymitis. Twenty - six were found to have 180 - 720 degree torsion around the spermatic cord and 1 case had 180 degree torsion around the verticality of the spermatic cord. The accuracy rate of color ultrasonic examination was 89.5 %. [ Conclusion ] Patients with acute scrotum pain should have color ultrasonic examination. Emergency operation should be performed on any suspected case of testicular torsion.

关 键 词：睾丸扭转 早期诊断 多普勒超声检查 

分 类 号：R697.2[医药卫生—泌尿科学]