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目的 总结睾丸扭转的诊断和治疗经验。方法 对 2 2例临床初诊为睾丸扭转的患者行彩色多普勒超声 (CDU)检查 ,均行手术探查、睾丸切除或睾丸复位固定术。结果 2 2例患者均经CDU确诊为睾丸扭转。 6例行睾丸固定术 ,1 6例行患侧睾丸切除和对侧睾丸固定术。 6例手术复位者随访 1～ 8年 ,睾丸萎缩 2例。结论 CDU诊断睾丸扭转正确率高。早期手术探查对提高睾丸存活率有重要意义。
Objective To summarize the diagnosis and treatment of testicular torsion. Methods Twenty-two patients with newly diagnosed testicular torsion underwent color Doppler ultrasonography (CDU). All patients underwent surgical exploration, orchiectomy or testicular reduction and fixation. Results Twenty-two patients were diagnosed with torsion of testis by CDU. 6 cases of testicular fixation, 16 cases of ipsilateral testicular resection and contralateral testicular fixation. 6 cases of surgical resection were followed up for 1 to 8 years, 2 cases of testicular atrophy. Conclusion CDU diagnosis of testicular torsion correct rate. Early surgical exploration to improve testicular survival rate is important.