睾丸精索扭转的诊断与治疗（附18例报告）

目的：总结睾丸精索扭转的诊断及治疗方法。方法：回顾分析18例睾丸精索扭转患者的临床资料。患者年龄1～49岁,平均20.5岁,其中小于25岁者14例,占78%。左侧12例,占67%。发病至确诊时间5h-2周。结果：初诊误诊14例。18例均行手术治疗,5例扭转时间短,睾丸血运良好者手术后保留睾丸,13例因睾丸已坏死,行睾丸切除术。17例为鞘膜内扭转,1例为鞘膜外扭转。结论：彩色多普勒血流动态显象检查（CDFI）是急性精索扭转早期诊断可靠方法;手术探查是提高睾丸存活率的重要手段。

Diagnosis and Treatment of Testicular Torsion and Spermatic Cord Torsion (a Report of 18 Cases)

Objecive:To summarize the experience of diagnosis and treatment of testicular torsion and spermatic cord torsion. Methods:The clinical data of 18 cases of testicular torsion and spermatic cord torsion were summarizd and analyzed retrospectively.Mean age of the patients was 20.5 years,with 78% of which occurring in patients younger than 25 years and 67% in the left side,the elapse of time from onset to a definite diagnosis was 5h-2w.Results:The initial diagnosis of 14 cases were misdiagnosed. Surgical examin...