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目的探讨睾丸扭转(TT)患者失睾的危险因素。方法回顾性分析我院收治的73例单侧TT患者的临床资料,满足分组标准的共计71例。严格按照术中睾丸保留指针决定睾丸保留与否,睾丸无保留指针而患者拒绝切除的病例予以排除,手法复位成功且经彩色多普勒超声证实的计入保留组。依据术后睾丸是否切除分为睾丸切除组(切除组,n=41)和睾丸保留组(保留组,n=30)。比较两组病例在患者发病特点及诊治各环节差异性,分析影响睾丸丢失的原因及其相关性。结果经Logistic回归分析,年龄分组(χ2=7.339,P=0.007,OR=6.195),扭转时间分组(χ2=10.285,P=0.001,OR=57.717)及扭转度数分组(χ2=8.493,P=0.004,OR=18.598),差异均有统计学意义;表明以上三因素均为TT患者睾丸丢失的独立危险因素。结论发病年龄、扭转时间及扭转程度是影响TT患者失睾的重要因素,降低首诊误诊率和转诊率,是降低睾丸丢失率的关键。
Objective To explore the risk factors of testicular torsion (TT) in patients with. Methods The clinical data of 73 patients with unilateral TT admitted in our hospital were analyzed retrospectively. A total of 71 patients met the criteria of grouping. In strict accordance with the intraoperative retention of testis to determine the testis retention or not, the testicles without retention of the patient refused to remove the case to be excluded, the successful reduction and confirmed by color Doppler ultrasound included in the retention group. According to whether the resection of the postoperative testis is divided into orchidectomy group (resection group, n = 41) and testis retention group (retention group, n = 30). Compare the two groups of patients in the characteristics of the onset of disease and the diagnosis and treatment of various aspects of the difference analysis of the causes of testicular loss and its correlation. Results According to Logistic regression analysis, the age group (χ2 = 7.339, P = 0.007, OR = 6.195), torsion time group (χ2 = 10.285, P = 0.001, OR = 57.717) and twist degree group (χ2 = 8.493, , OR = 18.598), the differences were statistically significant; These three factors are independent risk factors of testicular loss in TT patients. Conclusion The age of onset, the time of torsion and the degree of torsion are the important factors that affect the patients with TT. To reduce the misdiagnosis rate and referral rate of the first visit is the key to reduce the rate of testicular loss.