【摘要】 目的探讨睾丸扭转或精索扭转的诊治方法,减少误诊概率。方法回顾性分析我院泌尿外科2005年1月至2016年1月收治的108例睾丸扭转或精索扭转者临床诊治资料。结果患者年龄2~28岁,平均14.5岁,小于18岁者占84%,左侧睾丸扭转者90例,占83.3%;病情发作至明确诊断4 h~15 d,12 h以上者占91.5%;患者术前均行阴囊彩色多普勒,疑似病例均急诊手术探查,符合率为90.1%;48例行患侧睾丸切除,60例行手术复位、固定,睾丸保留。术中常规固定对侧正常睾丸。结论阴囊疼痛患者需急诊行阴囊彩色多普勒检查,疑似病例建议急诊手术探查,提高保留睾丸概率。更多还原

【Abstract】 Objective To discuss the diagnostic methods for testicular torsion or spermatic cord torsion in order to reduce misdiagnosis. Methods The clinical data of 108 patients with testicular torsion or spermatic cord torsion in Department of Urinary Surgery of our hospital were reviewed and analyzed. Results The patients were 2~28 years old, with the average age of 4.5 years, and 84% of patients were younger than18 years. Ninety patients(83.3%) had testicular torsion in the left side. It cost 4 h~15 d to obtain a definite diagnosis, with 91.5%>12 h. Before surgery, the patients were all examined by color Doppler ultrasonography, and the suspected cases were confirmed by emergency operation, with the coincidence of 90.1%. The ipsilateral testicles were resected in 48 cases, and were salvaged by surgical detorsion and orchiopexy in 60 cases. All the contralaleral testicles were performed orchiopexy. Conclusion Patients with acute scrotum pain should be examined by color Doppler ultrasonography. The suspected patients for testicular torsion should be further conformed by emergency operation, in order to improve the testicular retention rate.更多还原