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目的:总结精索扭转的早期诊断及治疗方法,提高精索扭转的诊治水平。方法:对54例精索扭转患者的临床资料进行回顾性分析。结果:对54例试行手法复位成功10例,失败3例;手术探查44例,20例予以保留睾丸,24例行睾丸切除,12例未行对侧睾丸预防性固定,随访有1例发生对侧精索扭转,32例行对侧睾丸预防性固定,未见精索扭转发生。结论:对本病应保持足够的警惕与认识,并通过详细地询问病史细致地体格检查,适当地辅助检和及时地手术探查来诊断本病;睾丸毁损与扭转的时间密切相关,延迟就诊是睾丸丢失的重要原因,临床高度怀疑时应及早手术探查。常规预防性固定健侧睾丸不是很必要。
Objective: To summarize the early diagnosis and treatment of sphincter twisting and improve the diagnosis and treatment of sphincter twisting. Methods: The clinical data of 54 patients with sphincter twisting were retrospectively analyzed. Results: Of the 54 trial cases, 10 cases were successfully resected and 3 cases failed. Surgical exploration was performed in 44 cases. Twenty cases were reserved for testis, 24 cases for orchiectomy, 12 cases for contralateral testicular prophylaxis. One case was followed up Side spermatic cord twisting, 32 cases of contralateral testicular prophylactic fixation, no spermatic cord twisting occurred. Conclusion: This disease should be kept vigilant and awareness, and detailed physical examination by detailed history inquiry, appropriate auxiliary examination and timely surgical exploration to diagnose the disease; testicular damage and torsion time is closely related to delayed treatment is An important reason for the loss of testes, clinical suspicion should be as early as possible surgical exploration. Conventional preventive immobilization of contralateral testis is not necessary.