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睾丸扭转临床诊治体会

Clinical diagnosis and treatment of testicular torsion

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【作者】 袁巍董德河曹继刚江克华陈苏陈洪波胡晓晖

【Author】 YUAN Wei;DONG Dehe;CAO Jigang;JIANG Kehua;CHEN Su;CHEN Hongbo;HU Xiaohui;Department of Urology,Enshi Tujia and Miao AutonomousPrefecture Central Hospital;Huangpi District People’s Hospital of Wuhan;College of Basic Medical Sciences,Hubei University of Traditional Chinese Medicine;

【机构】 恩施土家族苗族自治州中心医院泌尿外科武汉市黄陂区人民医院湖北中医药大学基础医学院

【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。

【Abstract】 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
【Key words】 Testicular torsionDiagnosisTreatment
【基金】 国家自然科学基金项目(30973704)
  • 【文献出处】 中国性科学 ,Chinese Journal of Human Sexuality , 编辑部邮箱 ,2016年10期
  • 【分类号】R699.8
  • 【被引频次】3
  • 【下载频次】125
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