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目的对50例睾丸扭转的临床诊断方法及治疗情况进行研究,改善临床诊治效果。方法总结我院收治的50例睾丸扭转患者的临床资料,统计分析其相关危险因素与睾丸保留率的关系,观察其诊疗过程及后期效果。结果 50例患者主诉均为单侧睾丸突发性疼痛,其中左侧睾丸发生扭转27例,右侧扭转者18例。彩色多普勒超声确诊32例,手术探查确诊18例。8小时以内就诊26例,使用手术复位固定技术,睾丸成活率达100%;9～24小时就诊者17例,手术后存活率64.7%;24小时以后就诊7例,均行睾丸切除术,并对正常睾丸进行固定。随访50例患者3～12个月均未再次发病。结论睾丸扭转的最主要症状是睾丸疼痛,彩色多普勒超声检查是睾丸扭转诊断的最佳选择,一经出现应尽早行手术探查确诊,及时确诊并早期手术,睾丸的保留率可以显著提高。
Objective To study the clinical diagnosis and treatment of testicular torsion in 50 cases and to improve the clinical diagnosis and treatment effect. Methods The clinical data of 50 patients with testicular torsion admitted in our hospital were summarized, and the relationship between the risk factors and testicular retention rate was statistically analyzed. The course of diagnosis and treatment and the late effect were observed. Results Fifty patients complained of unilateral testicular sudden pain, including left torsion in 27 cases and right torsion in 18 cases. 32 cases were diagnosed by color Doppler ultrasound and 18 cases were confirmed by surgical exploration. Twenty-six patients were treated within 8 hours. Survival rate of testis reached 100% using surgical reduction and fixation techniques. Seventeen patients were treated within 9-24 hours after operation, with a survival rate of 64.7%. Seventeen patients were treated after 24 hours. All patients underwent orchiectomy. Normal testis fixed. Follow-up 50 patients 3 to 12 months were not re-onset. Conclusion The main symptom of testicular torsion is testicular pain. Color Doppler ultrasound is the best choice for the diagnosis of testicular torsion. Once diagnosed by operation exploration as soon as possible, timely diagnosis and early operation, the retention rate of testis can be significantly improved.