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目的提高睾丸扭转的诊治水平。方法分析40例睾丸扭转患者的临床资料并结合文献讨论其诊断及治疗。结果40例均手术探查,其中24例因睾丸缺血性坏死,行睾丸切除术,16例行睾丸复位固定术,随访6个月～3年,12例睾丸存活(30%),4例睾丸萎缩消失,因睾丸坏死切除或萎缩致睾丸丢失率70%(28/40)。结论临床表现及彩色Doppler超声检查是诊断睾丸扭转的重要手段,而早期行睾丸复位固定术是最有效的治疗方法。
Objective To improve the diagnosis and treatment of testicular torsion. Methods 40 cases of testicular torsion in patients with clinical data and literature review discuss its diagnosis and treatment. Results All the 40 cases were operated surgically. Among them, 24 cases were diagnosed as orchidectomy due to testicular ischemia and necrosis. 16 cases were followed up for 6 months to 3 years. 12 cases had testicular survival (30%), 4 cases testicular Atrophy disappeared, testicular necrosis due to resection or atrophy caused by testicular loss rate of 70% (28/40). Conclusions Clinical manifestations and color Doppler ultrasonography are important methods to diagnose testicular torsion. Early testicular resection and fixation is the most effective treatment.