睾丸扭转临床诊治体会  

Clinical diagnosis and treatment of testicular torsion

作　　者：袁巍 董德河[2] 曹继刚[3] 江克华 陈苏 陈洪波 胡晓晖 

机构地区：[1]恩施土家族苗族自治州中心医院泌尿外科,湖北恩施445000 [2]武汉市黄陂区人民医院,武汉430300 [3]湖北中医药大学基础医学院,武汉430065

出　　处：《中国性科学》2016年第10期19-21,共3页Chinese Journal of Human Sexuality

基　　金：国家自然科学基金项目(30973704)

摘　　要：目的:提高睾丸扭转的早期诊断和治疗水平,降低急性睾丸扭转的误诊。方法:回顾性分析36例睾丸扭转患者的临床资料,结合文献进行总结。36例患者年龄3~32岁,平均11.6岁,左侧29例,右侧7例,无双侧同时发病者;发病至确诊时间6h^7d。结果:36例行手术探查,22例术中证实睾丸扭转坏死而行睾丸切除术,14例行睾丸复位术,除其中1例术后出现睾丸萎缩,其他均已治愈。结论:对于睾丸扭转,早期诊断及早期手术探查是提高睾丸存活率的重要手段。Objectives： To improve the diagnosis and treatment of testicular torsion. Methods： The clinical data of 36 patients with testicular torsion were retrospectively analyzed,including 29 left ones and 7 right ones. The mean age was 11. 6 years old and confirmed diagnosis time was between 6h to 7 days. Results： Among the 36 cases,22 cases were necrosis and received testectomy,and 14 cases underwent testicular repairs. All patients were followed up for 2 years,and no patient had recurrent torsion. Conclusion： Testicular torsion should be considered when a sud-den acute scrotum pain occurs. Early diagnosis and treatment is the key to improve the survival rate of testis.

关 键 词：睾丸扭转 诊断 治疗 

分 类 号：R697.24[医药卫生—泌尿科学]