摘要
目的提高睾丸扭转的诊治水平.方法回顾性总结15例睾丸扭转患者的诊治资料,结合文献进行分析.结果早期误诊5例.经彩超检查11例确诊为睾丸扭转.15例均行手术探查,1例术中证实术前复位成功,3例经手术复位治愈,11例行睾丸切除.6例行对侧睾丸固定术,9例未行对侧睾丸固定术.随访6个月～3年,3例保留睾丸者中,睾丸萎缩1例.经随访对侧睾丸无1例发生扭转.结论彩超检查是睾丸扭转的首选方法,早期手术探查对提高睾丸存活率有重要意义;及时诊治,不行对侧睾丸固定术是可行的.
Objective To improve the level of diagnosis and treatment of torsion of testis. Methods The clinical materials of 15 cases of torsion of testis were analyzed retrospectively.Results There were 5 eases were misdiagnosed. 11 cases were obtained as torsion of testis. All of them were underwent operation.Among them, there were 1 case reduction before operation, 3 cases reduction during operation, 11 cases resection of testis,6 cases testis ftxation at opposite side and 9 no opposite fixation. After 6 months to 3 year follow - up,1 in 3 testis apoptosis. Conclusion The early operation could improve the survival rate of testis with first choice of color ultrasonic detection. It might be feasible that not to fix the opposite testis.
出处
《黑龙江医学》
2005年第9期684-685,共2页
Heilongjiang Medical Journal
关键词
泌尿外科学
睾丸扭转
诊断
手术
Torsion of testis
Diagnosis
Surgery
Operation
