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睾丸扭转19例诊治体会
引用本文:张建育,刘为安.睾丸扭转19例诊治体会[J].福建医药杂志,2006,28(3):16-17.
作者姓名:张建育  刘为安
作者单位:福建医科大学附属第二医院泌尿外科,362000
摘    要:目的提高睾丸扭转的诊治水平。方法回顾性分析19例睾丸扭转患者的诊治资料,结合文献进行分析。结果19例患者均经彩色多普勒超声检查确诊为睾丸扭转。7例(32%)经手术复位保留了睾丸,12例(68%)坏死睾丸予以切除。结论彩色多普勒超声检查为诊断睾丸扭转的首选辅助检查方法。确诊后应积极手术探查,以期挽救睾丸。

关 键 词:睾丸扭转  精索扭转  诊断  治疗学
文章编号:1002-2600(2006)03-0016-02

Diagnosis and treatment of testicular torsion: Report of 19 cases
Zhang Jianyu,Liu Weian.Diagnosis and treatment of testicular torsion: Report of 19 cases[J].Fujian Medical Journal,2006,28(3):16-17.
Authors:Zhang Jianyu  Liu Weian
Institution:Department of Urology, the Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, China
Abstract:Objective To study the diagnosis and treatment of testicular torsion. Methods Nineteen cases of testicular torsion treated from January 1998 to November 2005 were reviewed. The diagnosis and treatment data were analyzed. Results The diagnosis of testicular torsion in all the 19 cases were defined with color Doppler ultrasonics. The testiculars of seven cases were salvaged by operative detorsion. The testiculars of 12 cases with testicular necrosis were removed, and the removal rate was 68%. Conclusion Color Doppler ultrasonics examination can serve as a chief adjuvant diagnostic method. In order to raise the testicle survival rate, immediate operative exploration is recommended when the diagnosis is clear or testicular torsion is suspected.
Keywords:Testicular torsion  Spermatic cord torsion  Diagnosis  Therapeutics
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