睾丸扭转的早期诊断和治疗（附26例临床报告）

摘要

目的：分析睾丸扭转的早期诊断和治疗方法,提高其早期诊断及治疗水平。方法回顾性总结分析26例睾丸扭转患者的临床资料。结果3例发病<6 h者手法复位成功；5例6~12 h手术者,睾丸均得以保存；5例12~24 h手术者,3例睾丸得以保存；13例超过24 h手术者,仅4例睾丸得以保存。结论睾丸扭转所致睾丸缺血坏死与睾丸扭转持续时间和睾丸扭转程度密切相关,彩色多普勒超声检查是诊断睾丸扭转的理想手段,早期迅速明确诊断、及时手术复位固定治疗才能最大限度提高睾丸的挽救率,临床上怀疑为睾丸扭转的患者应及早进行手术探查治疗,睾丸扭转持续时间越短,睾丸获救机会越大。%ObjectiveTo analyze the early diagnosis and treatment method of testicular torsion, and to improve early diagnosis and treatment levels.MethodsClinical data of 26 patients with testicular torsion were retrospectively analyzed.ResultsManual reduction was successful for 3 cases with morbidity <6 h. Testis of 5 cases in 6~12 h were reserved by operation. Among 5 cases of 12~24 h, 3 of them had reserved testis. There were only 4 cases in 13 cases over 24 h had reserved testis.ConclusionTesticular ischemia necrosis induced by testicular torsion is closely related with time and degree of testicular torsion. Color Doppler ultrasound is the ideal method for diagnosing testicular torsion, and early diagnosis and timely operation for reduction fixation can effectively improve testis saving rate. The shorter time of testicular torsion is, the bigger chance for saving testis exists.