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睾丸扭转在临床上并不少见。由于易发生误诊而延误手术时机,故早期诊断尤为重要。我们认为对于突发性阴囊肿痛,应考虑到本病发生的可能性。现将本院近2年来诊断并经手术证实的睾丸扭转6例报告如下。本组6例,年龄17~30岁。右侧4例,左侧2例。发病时间6~48小时,均在冬天睡眠中改变体位时发病。睾丸剧痛伴肿大,检查均有睾丸附睾界限不清,解剖关系异常。患睾上抬,Prehn’s征(+)。3例鞘膜腔穿刺有血液。手术发现5倒顺时针扭转,1例逆时针扭转。幅度在270°~540°,睾丸附睾均发黑坏死。其
Testicular torsion is not uncommon in clinical practice. Because of misdiagnosis and delays in the timing of surgery, so early diagnosis is particularly important. We think the sudden scrotal swelling and pain should take into account the possibility of this disease. Now the hospital in the past two years, diagnosis and surgical evidence of testicular torsion 6 reported as follows. The group of 6 patients, aged 17 to 30 years. Right in 4 cases, left in 2 cases. Incidence of 6 to 48 hours, all in the winter when the disease changes position sleep onset. Testicular pain with swollen enlargement, testicular epididymal testis are unclear, abnormal anatomy. Suffering from the testis, Prehn’s sign (+). 3 cases of mucosal puncture with blood. Surgery found 5 clockwise turn reverse, 1 case of anti-clockwise turn. Amplitude of 270 ° ~ 540 °, testis epididymis were black necrosis. its