儿童睾丸扭转的诊治探讨

目的:探讨如何早期发现儿童睾丸扭转。方法:回顾性分析24例睾丸扭转的临床资料。结果:年龄4个月~15岁,平均8.5岁。左睾丸17例,右睾丸7例。发病到手术时间1 h~4个月。初诊确诊为睾丸扭转16例,延误诊断8例。术前均行彩超检查,1例4个月患儿拒绝治疗,手术探查23例,6例保留睾丸,17例行睾丸切除。结论:睾丸坏死不仅与扭转度数和时间有关,还和扭转的松紧度有关;彩色多普勒超声对睾丸扭转的早期诊断具有重要的参考价值;小儿阴囊急症疑为睾丸扭转应早期手术探查。

Diagnosis and Treatment of Testicular Torsion in Children

Objective: To explore the early diagnosis of testicular torsion in children.Methods: The clinical data of 24 patients with testicular torsion were analyzed retrospectively.Results: The patients ranged in age from 4 months to 15 years(mean(10.3) years),17 left and 7 right testes involved.The duration between the onset and operation varied from 1 hour to 4 months.Diagnoses were initially and correctly made in 16 cases and delayed in 8.Surgical explorations were carried out in 23 cases,and resection of the testis performed in 17.Conclusion: Testicular necrosis is associated not only with the duration and degree,but also with the extent of the torsion.Color Doppler has clinical value in the early diagnosis of child testicular torsion.Timely surgical exploration should be performed for cases of acute scrotal problem suspected of child testicular torsion.