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目的:探讨睾丸扭转的病因及诊治。方法:回顾分析48例睾丸扭转的临床资料。结果:48例患者中32例(66.67%)被误诊为睾丸炎,3例(6.25%)被误诊为肠炎,仅11例(22.9%)首诊得以确诊。33例(68.75%)睾丸缺血性坏死被切除。12月~2月发病者占43.75%(21/48)。结论:睾丸扭转的病因除本身解剖异常外,受凉、冷刺激可能是诱发因素。提高首诊诊断正确率将有助于扭转睾丸的获救。
Objective: To explore the cause of testicular torsion and diagnosis and treatment. Methods: A retrospective analysis of 48 cases of testicular torsion clinical data. Results: 32 of 48 patients (66.67%) were misdiagnosed as orchitis, 3 (6.25%) were misdiagnosed as enteritis and only 11 (22.9%) were diagnosed by first diagnosis. 33 cases (68.75%) testicular ischemic necrosis was removed. December to February incidence accounted for 43.75% (21/48). Conclusion: In addition to its own anatomical abnormalities testicular torsion, cold and cold stimulation may be predisposing factors. Improving the diagnostic accuracy of the first visit will help to reverse the testicular rescue.