睾丸精索扭转的临床诊疗分析  

Clinical analysis for diagnosis and treatment of testicular torsion and spermatic cord torsion

作　　者：谢国祥 

机构地区：[1]铜仁市中医院外科,贵州铜仁554300

出　　处：《现代医药卫生》2010年第10期1482-1483,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨睾丸精索扭转的诊断及治疗方法。方法:回顾分析22例睾丸精索扭转患者的临床资料。结果:初诊误诊13例。22例均行手术治疗,10例扭转时间短,睾丸血运良好者手术后保留睾丸,12例因睾丸已坏死,行睾丸切除术。20例为鞘膜内扭转,2例为鞘膜外扭转。结论:彩色多普勒血流动态显像检查(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 study the experience of diagnosis and treatment of testicular torsion and spermatic cord torsion.Methods：The clinical data of 22 cases of testicular torsion and spermatic cord torsion were summarizd and analyzed retrospectively.Results：The initial diagnosis of 13 cases were misdiagnosed.Surgical examination was carried out in 22 cases,resection of testis and epididymis was performed in 12 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：R6[医药卫生—外科学]