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目的:提高临床医生对睾丸扭转的诊断能力。方法:报道1例睾丸扭转因延迟就诊和2次误诊致坏死。结合文献,对其解剖、临床表现、超声诊断及误诊原因进行复习与分析。结果:1例表现为下腹痛的睾丸扭转患者,2次分别被误诊为肠痉挛和输尿管结石。术中探查证实睾丸扭转,睾丸已经坏死并切除。术后病理证实为睾丸坏死并弥漫性出血。结论:发病后及时就诊、准确诊断和正确治疗是避免睾丸丢失的关键。彩色多普勒超声检查为明确本病的一种理想影像学检查方法,并对手术有指导作用。
Objective: To improve clinicians ability to diagnose testicular torsion. Methods: One case of testicular torsion was reported due to delayed treatment and 2 misdiagnosis-induced necrosis. Combined with the literature, its anatomy, clinical manifestations, ultrasound diagnosis and misdiagnosis of the reasons for review and analysis. Results: One case of testicular torsion with lower abdominal pain was misdiagnosed as intestinal spasm and ureteral calculus twice. Intraoperative exploration confirmed testicular torsion, testicular necrosis and resection. Postoperative pathology confirmed as testicular necrosis and diffuse hemorrhage. Conclusion: The timely diagnosis after the onset of the disease, accurate diagnosis and correct treatment is to avoid the key to testicular loss. Color Doppler ultrasound examination for the clear imaging of this disease is an ideal imaging method and has a guiding role in surgery.