【摘要】 目的　总结睾丸扭转的诊治经验。　方法　回顾性分析 18例睾丸扭转患者的临床资料。 18例平均年龄 2 3岁 ,<2 5岁者占 83% ,左侧占 83%。发病至确诊时间 5h～ 4 0d ,10h以上者占 89%。　结果　早期误诊 15例。 4例隐睾扭转者行睾丸切除术 ;14例阴囊内睾丸扭转者中 ,11例 (79% )因睾丸坏死予以切除 ,3例手术复位者随访 6个月～ 3年 ,睾丸萎缩 1例。　结论　隐睾扭转应与腹股沟嵌顿疝和急腹症鉴别 ,阴囊内睾丸扭转应与睾丸炎及附睾炎鉴别。早期手术探查对提高睾丸存活率有重要意义更多还原

【Abstract】 Objective To review the diagnosis and treatment of testicular torsion. Methods Clinical data of 18 cases of testicular torsion were analysed retrospectively.Mean age of the patients was 23 years ( range,12 to 70 years ),with 83% of which occurring in patients younger than 25 years of age and being in the left side.The lapse of time from onset to a definite diagnosis has been 5 h～40 days,with 89% >10 h. Results 15 patients had been misdiagnosed as epididymis orchitis or acute abdomen and undergone orchiectomy because of necrosis of the testicles,including 11 cases of intrascrotal torsion (testicular torsion in scrotum with an orchiectomy rate of 79%) and 4 cases of cryptorchidism with torsion.3 cases scrotal orchidopexy has been performed and during the follow up ( 6～36 months) the testicle in 2 of which appeared viable and normal while testicular atrophy has been observed in 1.In recent years 11 adolescents underwent exploration because of acute scrotal pain,7 cases being testicular torsion and 4 acute epididymitis. Conclusions It is emphasized that in younger patients suffering suddenly from pain in scrotum, especially occurring at night,the diagnosis of testicular torsion should be considered.Differentiating cryptorchidism with torsion from incarcerated hernia or acute abdomen,testicular torsion in scrotum from acute testitis and epididymitis should be serious considered.In order to save the testicle with early surgical exploration orchidopexy might be mandatory to aviod recurrence.更多还原