58例睾丸扭转的诊断分析  

Diagnosis and treatment of testicular torsion(58 cases report)

作　　者：杜从启[1] 李付彪[1] 孙忠凯[2] 刘凌云[1] 王洪亮[1] 

机构地区：[1]吉林大学第一临床医院男科,吉林长春130021 [2]广东省梅州市人民医院泌尿外一科,514000

出　　处：《重庆医学》2011年第11期1068-1069,1072,共3页Chongqing medicine

摘　　要：目的探讨急性睾丸扭转手术时机及处理方法,总结经验,提高睾丸扭转的诊治水平。方法回顾分析2002年1月至2009年4月收治的58例睾丸扭转患者的临床资料。结果所有患者均行阴囊彩超检查,诊断符合率达98.3%。4例未行手术探查,给予手法复位,留院观察2 d后出院。54例行手术探查,19例保留患侧睾丸,35例行患侧睾丸切除术。结论当突然出现的单侧阴囊肿大时,应首先考虑睾丸扭转,首选彩超检查;治疗上应早期确诊,3 h以内及时手法复位,复位一旦失败,应立即行手术探查,以挽救睾丸,提高生育能力。Objective To improve the diagnosis and treatment to acute testicular torsion by analyzing and discussing the appro- priate surgery time and methods. Methods 58 patients with testicular torsion during January 2002 and April 2009 in our hospital were retrospectively analyzed. Results All patients underwent scrotal color Doppler ultrasound examinaticn,with positive rate of 98.3 %. 4 cases did not undergo surgical exploration,just accepted manual restoration. 54 patients underwent routine surgical exploration,in which 19 cases underwent orehiopexy,35 accepted ipsilateral orchiectomy. Conclusion Testicular torsion should be take into account at first when a sudden onset of unilateral serotal swelling and pain, ,and the color doppler examination is recommended primarily. The patients should be definitely diagnosed within three hours after onset,and the manual testicular restoration, could be performed. In case of failure,surgical scrotal exploration must be performed as soon as possible to save the testis and fertility.

关 键 词：精索扭转 诊断 治疗 超声检查 多普勒 彩色 

分 类 号：R697.2[医药卫生—泌尿科学]