【摘要】 目的探讨睾丸扭转的诊治方法。方法回顾性分析25例睾丸扭转患者的临床资料。结果中位年龄19岁(14岁~26岁)。左侧扭转15例(60%),右侧10例(40%)。夜间发病18例(72%),白日发病7例(24%)。所有患者均表现为患侧阴囊疼痛,部分合并伴随症状或主诉其他症状。发病至确诊时间3 h~35 d。入院前误诊为睾丸附睾炎等8例(32%),误诊为急性阑尾炎及肠炎各1例。所有患者均行彩色多普勒超声检查,23例(92%)确诊,手术探查除3例(12%)得以保留睾丸外,其余22例(88%)患者均行睾丸切除。结论对于非创伤性阴囊急症,尤其青少年患者,临床要考虑到睾丸扭转可能,有条件者应立即行彩色多普勒超声检查,怀疑或不排除睾丸扭转者应及时手术探查。更多还原

【Abstract】 Objective To investigate the diagnosis and treatment of testicular torsion.Methods The clinical data of 25 patients with testicular torsion were retrospectively analyzed.Results The median age was 19 years(14-26years).The left side of testicular torsion was 15 cases(60%)and the right side 10 cases(40%).18 patients(72%)had the pain onset at night and 7 patients(24%)at daytime.All patients presented with unilateral scrotal pain,some with concomitant symptoms or other complaints.The time of onset to diagnosis was 3 hours-35 days. 8 cases(32%)were misdiagnosed as testicular epididymitis before admission with the time of misdiagnosis 3-35 days.One case was misdiagnosed as acute appendicitis and enteritis,respectivly. All patients underwent color Doppler ultrasonography examination,and 23 cases(92%)were correctly diagnosed.During testicular exploration,3 cases(12%) had successful organ salvage.The remaining 22 cases(88%)were underwent orchiectomy.Conclusion For patients with non-traumatic acute scrotum,especially in adolescents,the possibility of testicular torsion should be taken into consideration.Patients who have the condition should undergo color Doppler ultrasonography immediately,and suspicion or unable exclusion of testicular torsion should be promptly surgical explored.更多还原