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【专家说病】睾丸扭转是泌尿外科的急症。是指睾丸与精索在阴囊内发生扭转。由于精索内的血管被阻断,睾丸缺乏血液供应,如不及时治疗,睾丸会发生缺血性坏死、萎缩。其治疗时机应为发生扭转6小时内。近年来,随着诊疗水平的逐步提高,对本病的认识也在不断深入。睾丸扭转好发于青少年,发作高峰在14岁,病例多见于12~18岁。发病前多数无明显诱因,睾丸可以自发扭转,部分病人发生在睡眠中或睡眠后刚起床时,可能是因为睡眠中迷走神经兴奋,提睾肌随阴茎勃起而收缩增加,使其扭转,少数在外伤或者异常活动后发病。
Experts say】 testicular torsion is an emergency urology. Refers to the testes and spermatic cord in the scrotum occurs reverse. As the blood vessels within the spermatic cord is blocked, the testes lack of blood supply, if not treated, the testis will occur ischemic necrosis, atrophy. The timing of treatment should be reversed within 6 hours. In recent years, with the gradual increase in the level of diagnosis and treatment, the understanding of the disease is also in-depth. Testicular twisting occurs in adolescents, seizures peaked at 14 years of age, more common in cases of 12 to 18 years old. Most had no obvious predisposition before onset, testicular spontaneous torsion, some patients occurred in sleep or just wake up after sleep, may be due to sleep vagus nerve excitability, cremasteric muscle with penile erection and contraction increased, to reverse, a small number of trauma Or abnormal activity after the onset.