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目的提高对睾丸扭转的早期诊断和治疗水平。方法回顾性分析13例睾丸扭转病例的诊断与治疗资料,并结合文献进行分析。结果初诊确诊为睾丸扭转者9例,误诊为急性睾丸附睾炎4例。3例手术复位并行睾丸固定术,术后随访2～5年,手术复位患者中1例出现睾丸蒌缩。11例睾丸坏死行睾丸切除。结论睾丸扭转坏死与扭转时间和程度有关,彩色多普勒超声检查对睾丸扭转的早期诊断具有重要的临床价值,怀疑为睾丸扭转的患者应及早进行手术探查治疗。
Objective To improve the early diagnosis and treatment of testicular torsion. Methods Retrospective analysis of 13 cases of testicular torsion in the diagnosis and treatment of data, combined with the literature analysis. Results Initial diagnosis of testicular torsion in 9 cases, misdiagnosed as acute testicular epididymitis in 4 cases. Three cases of surgical reduction and testicular fixation, 2 to 5 years follow-up, surgical reduction in 1 case of patients with testicular constriction. Eleven patients with testicular necrosis underwent orchiectomy. Conclusion Torsades and necrosis of testis is related to the time and degree of torsion. Color Doppler ultrasonography has important clinical value in the early diagnosis of testicular torsion. Patients with suspected torsion of testicle should be treated with surgical exploration as soon as possible.