论文部分内容阅读
目的总结睾丸扭转的诊断与治疗体会,提高睾丸扭转的诊治水平。方法回顾性分析19例睾丸扭转患者的临床资料,患者年龄8~42岁,平均19.6岁。左侧14例,右侧5例。发病至确诊时间3 h~7 d。结果初诊误诊7例。4例发病时间短或扭转程度轻经手术复位而保留睾丸,其余15例因睾丸已坏死而予以切除。手术同时均行对侧睾丸探查固定。13例术前行彩色多普勒血流动态显象(CDFI)检查,1例发病4 h检查睾丸血流正常,第2天复查无血流,其余12例均提示睾丸无血流或血流减少。结论CDFI检查是诊断睾丸扭转的可靠方法,早期诊断和及时治疗是提高疗效的关键,在怀疑有睾丸扭转时,应及时手术探查。
Objective To summarize the diagnosis and treatment of testicular torsion and improve the diagnosis and treatment of testicular torsion. Methods A retrospective analysis of 19 cases of testicular torsion in patients with clinical data, patients aged 8 to 42 years, mean 19.6 years. Left in 14 cases, right in 5 cases. The onset time to diagnosis of 3 h ~ 7 d. Results Initial diagnosis misdiagnosed in 7 cases. 4 cases of short duration or a slight degree of torsion by surgery to retain the testis reset, and the remaining 15 cases of testicular necrosis was removed. Surgery at the same time contralateral testicular exploration fixed. Thirteen patients underwent preoperative color Doppler flow imaging (CDFI). One patient had normal testicular blood flow at 4 h, no blood flow on the second day, and no blood flow or blood flow in the remaining 12 patients cut back. Conclusions CDFI is a reliable method to diagnose testicular torsion. Early diagnosis and prompt treatment are the keys to improve curative effect. When testicular torsion is suspected, surgical exploration should be performed in time.