论文部分内容阅读
本组7例,右侧2例,左侧5例.年龄为18～3O岁.发病时间4～48小时,除1例外伤后发病外,其余均在冬季睡眠中改变体位时发病.患者均有睾丸剧痛、肿大、睾九附睾界限不清,解剖关系异常,患睾上抬.2例鞘膜腔穿刺有血性液体.手术证实6例顺时针扭转,l例逆时针扭转.幅度在280°～540°,其中2例先试行手法复位,半天后因再度扭转而中转手术.睾丸扭转中睾丸发组坏死2例,予以睾丸切除,其余5例睾丸整复后采用温盐水外敷,待色泽转润后加以固定.术后1年复查,睾丸均有不同程度萎缩.讨论
The group of 7 patients, 2 on the right and 5 on the left.The age was 18 ~ 3O years old.The onset time was 4 to 48 hours, except for one case of trauma onset, the rest were in the winter sleep change position when onset.All patients There testicular pain, swelling, epididymal testis nine unclear boundaries, abnormal anatomy, suffering from upper extremity .2 cases of hydrocele punctured the lumen .It was confirmed in 6 cases clockwise rotation, l cases of anti-clockwise rotation in the range of 280 ° ~ 540 °, of which 2 cases tried to reset the first trial, half a day after surgery due to reverse again in the testicular torsion testicular necrosis in 2 cases, to be orchidectomy, the remaining 5 cases of testicular repair with warm saline topical to be After the color is changed, the testis is fixed in varying degrees.