摘要
目的 :提高睾丸扭转的诊断和治疗水平。 方法 :回顾性分析 9例睾丸扭转疑诊病例 ,并结合文献进行分析。 结果 :9例患者年龄为 12～ 2 7岁 ,平均 15岁 ,1例经过镇痛治疗后自行复位 ,8例行手术治疗 ,其中 7例手术证实为睾丸扭转 ,1例术中探查为急性附睾炎。睾丸扭转患者中有 6例绕精索旋转 180°～ 72 0° ,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 87.5 % ,所有病例均有阴囊皮肤红肿 ,Prehn征 ( + )。 结论 :对突发睾丸疼痛应常规行彩色多普勒超声检查 ,睾丸扭转方向不全是绕精索轴旋转 ,手法复位不可靠 ,若怀疑为睾丸扭转 。
Objective: To improve the diagnosis and treatment of testicular torsion. Methods: The clinical data of 9 cases of suspected testicular torsion were retrospectively analyzed to summarize the diagnostic experiences. Results: The 9 patients were 12～27(mean 15) years old, 8 treated by surgery and 1 by spontaneous detorsion under anesthesia. Among them, 7 cases were proved to be testicular torsion and 1 case was acute epididymitis. Of the 7 cases of testicular torsion, 6 were found to have 180～720 degree torsion around the spermatic cord and 1 case 180 degree around the verticality of the spermatic cord. The accuracy rate of color ultrasonic examination was 87.5 %. Conclusion: Patients with acute scrotum pain should have color ultrasonic examination. Not all cases of the disease had testicular torsion around the spermatic cord. Emergency operation should be performed on any suspected case of testicular torsion.
出处
《中华男科学杂志》
CAS
CSCD
2004年第3期185-187,共3页
National Journal of Andrology
