69例睾丸扭转诊断与治疗

目的提高睾丸扭转诊断及治疗水平。方法对69例睾丸扭转患者的临床资料进行回顾性分析。结果8例12h内手术者，睾丸均存活；6例12—24h手术者，3例睾丸存活；39例超过24h手术者仅7例睾丸存活。未手术者16例，随访7例扭转睾丸均发生不同程度萎缩，尚未发现生育能力受影响者。结论早期诊断、及时治疗是提高疗效的关键。睾丸移植是治疗双侧睾丸扭转后功能性无睾症的一种有效方法。

Diagnosis and treatment of testicular torsion:a report of 69 cases

Objective To improve the diagnosis and treatment level of testicular torsion. Methods The clinical data of 69 patients with testicular torsion were analyzed retrospectively. Results 8 cases who received operation within 12 hours of injury had testicles survival. Of 6 cases who had operation within 12 to 24 hours, 3 had testicles survival. Of 39 cases who had operation after 24 hours, only 7 had testicle survival. Of 16 cases who did not have operation, 7 cases who had been followed up had torsion testicles atrophy, but none of them had diminished fertility. Conclusion Early diagnosis and treatment is critical for the rescue of testis. Testis homotransplantation is effective in treating the patients after bilateral testicular torsion.