睾丸扭转的诊治体会

目的:探讨睾丸扭转的诊断及治疗方法,提高睾丸扭转的诊治水平。方法:回顾性分析32例睾丸扭转患者的临床资料。结果:30例经彩色多普勒超声确诊,2例手术探查时确诊。32例患者均行手术探查,20例保留睾丸,12例行患侧睾丸切除术,所有病例均行对侧睾丸探查、固定术。结论:彩色多普勒超声对睾丸扭转的诊断具有较高的敏感性和特异性,可作为目前首选的检查方法。提高早期诊断率、早期手术探查是提高患侧睾丸存活率的关键。

Diagnosis and Treatment of Testicular Torsion

Objective To elevate the level of diagnosis and treatment of testicular torsion.Methods The clinical data of 32 cases of testicular torsion were retrospectively analyzed.Results The diagnosis of testicular torsion in 30 cases was based on color Doppler ultrasonography.2 cases were verified by operation.32 cases were confirmed by surgery,in which 20 cases were salvaged by an orchidopexy;12 cases treated with orchiectomy.All Contralaleral testicles were performed preventive orchiopexy.Conclusion color Doppler ultrasonography were more sensitive and peculiar in the diagnosis of testicular torsion,and can be regarded as the first choice of testicular torsion.Timely diagnosis and treatment are very important for keep the testis alive.