睾丸扭转21例诊治分析  

Treatment Analysis of 21 Cases of Testicular Torsion

作　　者：袁晓亮[1] 何小舟[1] 许贤林[1] 夏炜[1] 薛钟[1] 庄乾锋[1] 

机构地区：[1]苏州大学医学院附属第三医院泌尿外科,江苏常州213003

出　　处：《辽宁医学院学报》2012年第5期422-425,共4页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的总结睾丸扭转的诊治经验,提高睾丸扭转诊断及治疗水平。方法对21例睾丸扭转患者的临床资料进行回顾分析。结果 21例患者中,误诊8例,12例睾丸切除,9例睾丸复位固定,21例患者中均未行对侧睾丸固定术,术后随访6～30月,平均18月,均未复发和发生对侧睾丸扭转。结论睾丸扭转好发于青少年,且极易误诊,对青少年阴囊突发疼痛患者应首先考虑睾丸扭转。彩超检查对睾丸的早期诊断有重要的作用,及时手术探查是提高扭转睾丸救治率的关键。Objective To summarize the diagnosis experience of testicular torsion and to improve the level of diagnosis and treatment of testicular torsion.Methods Through retrospective analysis of the clinical data of 21 testicular torsion cases.Results In all the 21 cases,misdiagnose involved 8 cases,orchiectomy occurred in 12 cases,and testicular fixation was adopted to 9 cases.The opposite testicle of all 21cases was not fixed.All of the cases were followed up for 3~9 months（an average of 6 months）,in which period there was no recurrence,and the opposite testicle torsion did not occur.Conclusion Testicular torsion is easy to be misdiagnosed and there is greater possibility among adolescent patients than those of other ages.Testicular torsion should first taken into account if teenagers feel painful in scrotum.Color ultrasound plays an important role in early diagnosis of testicular torsion.Timely operation exploration is the key to increasing the cure rate of testicular torsion.

关 键 词：睾丸扭转 误诊 彩色超声 手术探查 

分 类 号：R697[医药卫生—泌尿科学]