摘要
目的 探讨降低睾丸扭转导致的失睾率的有效方法.方法 回顾性总结13例睾丸扭转患者的诊治资料,结合文献进行分析.结果 本组中有10例扭转时间〉24h且扭转角度〉360.,其中9例术前证实无生机,直接切除睾丸;1例因家属拒绝睾丸切除而予以睾丸复位且固定,术后3个月随访发现患睾明显萎缩.本组另3例中,1例扭转时间〉24h,但仅扭转270°,2例扭转时间〈24h,这3例均术中复位,判断血供恢复良好予以睾丸固定,经随访患侧睾丸与健侧睾丸基本对称,发育正常.患侧睾丸萎缩或切除致失睾率为76.9%（10/13）.结论 睾丸扭转后存活的关键因素是首诊时间、及时诊断和处理;扭转度数也是重要因素.
Objective To discuss the effective method for reducing the rate ot tesuum,~ torsion. Methods The clinical informations of 13 patients with testicular torsion were analyzed and summerized retrospectively combining with the ralted literatures. Results For 10 patients with the duration of testicular torsion 〉 24h and the angle of testicular torsion 〉 360 ~ , 9 patients of them underwent the testicular resection due to no vital force and the other patient received the manual detorsion and fixedness because of desires of his family members, The treated testicle of this patient became smaller in 3 months following up. Three patients （ including 1 patient with the duration of testicular torsion 〉 24h, but the angle of testicular torsion only was 270 ~ , 2 patients with the duration of testicular torsion 〈 24h） underwent manual detorsion and fixedness based on sufficient blood supply. During following-up, trouble side testicle and healthy side testicle were found to be symmetrical and grow normally. The rate oftesticular loss for the trouble testicle was 76.9%（10/13）. Conclusion The key factors were the duration of testicular torsion, the angle of testicular torsion, early diagnosis and treatment for testicular survival improving after torsion.
出处
《中国男科学杂志》
CAS
CSCD
2011年第1期36-38,共3页
Chinese Journal of Andrology
关键词
精索扭转
睾丸切除术
spermatic cord torsion
orchiectomy
