13例睾丸扭转的临床分析

目的：进一步提高睾丸扭转的诊疗水平。方法：回顾性分析13例睾丸扭转患者的临床资料。结果：6例手术复位，7例因睾丸坏死予以切除。结论：彩色多普勒超声成像是诊断急性睾丸扭转的可靠方法，早期手术探查对提高睾丸成活率有重要意义，8h以内扭转应行睾丸扭转复位固定术，病程超过24h者行手术切除的几率极大，睾丸不宜保留。

Diagnosis and treatment of testicular torsion

Objective: To study the diagnosis and treatment of acute testicular torsion. Methods: Clinical data of 13 cases of testicular torsion were analyzed retrospectively. Results: 6 cases of testicular distortion were performed operation, 7 patients underwent orchiectomy because of necrosis of the testicle. Conclusion: Testicular torsion should be diagnosid correctly on time and distortion must be performed rely. Color-Doppler ultrasonography is a kind of reliable method for the diagnosis of testicular torsion, in order to save the testicular early surgical exploration with orchidopexy is mandatory to avoid recurrence. When testicular torsion occurs within 8 h orchidopexy should be performed; in case the testicular torsion time exceeds 24 h orchiectomy should be done.