引用本文:刘志宇,范治璐,虞永江.睾丸扭转的诊断与治疗[J].大连医科大学学报,2004,26(1):.
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睾丸扭转的诊断与治疗
刘志宇1, 范治璐1, 虞永江2
1.大连医科大学,第二临床学院,泌尿外科,辽宁,大连,116027;2.上海第二医科大学,附属新华医院,上海
摘要:
[目的] 提高睾丸扭转的诊治水平.[方法] 回顾性分析14例睾丸扭转患者的临床资料.[结果] 早期误诊10例.1例隐睾扭转者行睾丸切除术;13例阴囊内睾丸扭转者中,4例手术复位,9例因睾丸坏死予以切除(71%).[结论] 睾丸扭转误诊率高,一经诊断即应及时复位,切除坏死睾丸或预防性固定.
关键词:  睾丸扭转  诊断  手术
DOI:10.11724/jdmu.2004.01.09
分类号:R697.22
基金项目:
Diagnosis and treatment of testicular torsion
LIU Zhi-yu1, FAN Zhi-lu1, YU Yong-jiang2
1.Department of Urology,the Second Affiliated Hospital, Dalian Medica l University, Dalian 116023,China;2.Department of Urology,the Affiliated Hospit al, Shanghai Secend Medical University,Shanghai 2000, China)
Abstract:
To study the diagnosis and treatment of acute testicular torsion. [Methods] Clinical data of 14 cases of testicular torsion were analyzed retrospectively. [Results] Ten patients had been misdia gnosed. Ten patients(71%) were undergone orchiectomy because of necrosis of the t esticles, including 9 cases of intracrotal torsion and 1 case of crytorchidism with torsion. [Conclusions] Testicular torsion has to be diagnosed correctly on time and the detorsion has to be p erformed early. For diagnosis of testicular torsion color-Doppler ultrasonograph y image is a reliable method. In order to save the testicle with early surgical exploration orchidopexy might be mandatory to avoid recurrence.
Key words:  testicular torsion  diagnosis  operative