睾丸扭转早期诊断和治疗方法选择

Early diagnosis and treatment in testicular torsion

关键词:  睾丸扭转  早期诊断  多普勒超声检查

Key words:  testicular torsion  early diagnosis  color ultrasonic examination

摘要:

［目的］探讨睾丸扭转的早期诊断和治疗方法选择价值。［方法］ 回顾性分析31例睾丸扭转疑诊病例,并结合文献进行分析。［结果］31 例患者年龄为12～27 岁，平均16 岁，2 例经过镇痛治疗后自行复位，29 例行手术治疗，其中27 例手术证实为睾丸扭转，1 例术中探查为急性附睾炎，1 例为急性睾丸炎。睾丸扭转患者中有26 例绕精索旋转180°～720°，1 例绕着与精索垂直的轴线旋转180°。彩色多普勒超声检查准确率为89.5 %，Prehn 征（+）。［结论］ 对突发睾丸疼痛应常规行彩色多普勒超声检查，手法复位不可靠，若怀疑为睾丸扭转，应急诊手术探查。

Abstract:

［Objective］ To evaluate the value of early diagnosis and treatment in testicular torsion. ［Methods］ The clinical data of 31 patients with suspected testicular torsion were retrospectively analyzed to summarize the diagnostic experiences. ［Results］ The 31 patients were 12 ～27 years old, 29 cases were treated by surgery and 2 cases by spontaneous detorsion under anesthesia. Among them, 27 cases were proved to be testicular torsion and 1 case was acute epididymitis. Twenty-six were found to have 180～720 degree torsion around the spermatic cord and 1 case had 180 degree torsion around the verticality of the spermatic cord. The accuracy rate of color ultrasonic examination was 89.5 %. ［Conclusion］ Patients with acute scrotum pain should have color ultrasonic examination. Emergency operation should be performed on any suspected case of testicular torsion.