【摘要】 目的总结睾丸扭转的诊治经验。方法23例患者平均年龄24.8岁,发病至确诊时间平均2.4 d(5 h~40 d),10 h以上者占87.0%(20/23)。隐睾扭转4例,行睾丸切除术;阴囊内睾丸扭转19例,其中16例因睾丸坏死予以切除,3例睾丸复位后血供恢复而予保留。结果保存睾丸的3例分别随访18、21和29个月,睾丸萎缩1例,正常2例。20例切除睾丸者随访6个月~5年,彩色多普勒检查示健侧睾丸大小、血供正常。结论睾丸扭转应与睾丸炎及附睾炎鉴别,隐睾扭转应与腹股沟嵌顿疝和急腹症鉴别。彩色多普勒对鉴别诊断有帮助。早期手术探查对降低睾丸切除率有重要意义。更多还原

【Abstract】 Objective To summarize the experience of diagnosis and treatment for testicular torsion.Methods 23 cases suffered testicular torsion were reviewed,with average age of 24.8 years.The duration from onset to diagnosis established was 5 hours to 40 days(mean 2.4 days) in all cases,and more than 10 hours in 20 cases(87.0%).The orchiectomy was performed in 4 testicular torsion cases with cryptorchidism,orchiectomy and contra-lateral orchidopexy in 16 testis necrosis cases,and torsional testis resetting and reserved in 3 cases.Results 3 cases whose torsional testis reserved were followed up for 18,21 and 29 months respectively,the result showed 2 of normal testis and 1 of testicular atrophy.20 cases underwent orchiectomy were followed up for 6 months to 5 years,and the color Doppler flow imaging(CDFI) exam showed normal size and good blood supply in contra-lateral testicle.Conclusions In diagnosis of testicular torsion,cryptorchidism with torsion would be differentiated from incarcerated hernia or acute abdomen,and testicular torsion in scrotum would be discriminated from epididymitis or acute testitis.CDFI is helpful to differential diagnosis.Early surgical exploration can improve the testicular survival rate.更多还原