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58例睾丸扭转的诊断分析
引用本文:杜从启,李付彪,孙忠凯,刘凌云,王洪亮. 58例睾丸扭转的诊断分析[J]. 重庆医学, 2011, 40(11): 1068-1069,1072. DOI: 10.3969/j.issn.1671-8348.2011.11.011
作者姓名:杜从启  李付彪  孙忠凯  刘凌云  王洪亮
作者单位:杜从启,李付彪,刘凌云,王洪亮,Du Congqi,Li Fubiao,Liu Lingyun,Wang Hongliang(吉林大学第一临床医院男科,吉林长春,130021);孙忠凯,Sun Zhongkai(广东省梅州市人民医院泌尿外一科,514000)
摘    要:目的探讨急性睾丸扭转手术时机及处理方法,总结经验,提高睾丸扭转的诊治水平。方法回顾分析2002年1月至2009年4月收治的58例睾丸扭转患者的临床资料。结果所有患者均行阴囊彩超检查,诊断符合率达98.3%。4例未行手术探查,给予手法复位,留院观察2 d后出院。54例行手术探查,19例保留患侧睾丸,35例行患侧睾丸切除术。结论当突然出现的单侧阴囊肿大时,应首先考虑睾丸扭转,首选彩超检查;治疗上应早期确诊,3 h以内及时手法复位,复位一旦失败,应立即行手术探查,以挽救睾丸,提高生育能力。

关 键 词:精索扭转  诊断  治疗  超声检查,多普勒,彩色

Diagnosis and treatment of testicular torsion(58 cases report)
Du Congqi,Li Fubiao,Sun Zhongkai,Liu Lingyun,Wang Hongliang. Diagnosis and treatment of testicular torsion(58 cases report)[J]. Chongqing Medical Journal, 2011, 40(11): 1068-1069,1072. DOI: 10.3969/j.issn.1671-8348.2011.11.011
Authors:Du Congqi  Li Fubiao  Sun Zhongkai  Liu Lingyun  Wang Hongliang
Affiliation:1(1.Department of Andrology,The First Hospital of Jilin University,Changchun,Jilin 130021,China;2.Department of Urology,Meizhou People′s Hospital,Meizhou,Guangdong 514000,China)
Abstract:Objective To improve the diagnosis and treatment to acute testicular torsion by analyzing and discussing the appropriate surgery time and methods.Methods 58 patients with testicular torsion during January 2002 and April 2009 in our hospital were retrospectively analyzed.Results All patients underwent scrotal color Doppler ultrasound examination,with positive rate of 98.3%.4 cases did not undergo surgical exploration,just accepted manual restoration.54 patients underwent routine surgical exploration,in which...
Keywords:spermatic cord torsion  diagnosis  therapy  ultrasonoraphy  Doppler  color  
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