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睾丸扭转亦称精索扭转,是泌尿外科急症,及时诊治是提高睾丸获救率的关键.我院自1989年3月～1996年6月收治睾丸扭转13例,报告如下.1 临床资料本组13例,2～17岁9例,22～25岁4例.左侧7例,其中1例为隐睾扭转;右侧6例.发病时间3小时～5天多.初次就诊时间10小时内5例.2～7天者8例.延误诊治8例曾在外院初诊或多次就诊后转入我院.另1例早期误诊:嵌顿疝”手术探查中发现睾丸扭转而复位使睾丸获救.除1例有阴囊外伤史及隐睾者表现为‘腹痛”外均有睾丸肿痛.3例早期伴有恶心呕吐.睾丸上提横位者4例.6例因局部红肿触诊不满意.阴囊内扪及囊性肿物1例,手术证实系 精索睾丸鞘膜积液合并睾丸扭转.初诊确诊4例.误诊9例(误诊急性睾丸附睾炎6例,“嵌顿疝”1例,“腹痛”1例.(为隐睾扭转),睾丸挫伤1例.睾丸精索彩超检查5例,13例睾丸扭转720°5例、360°4例、180°4例.顺时针扭转者9例,逆时针扭转者4例.探查13例患睾8例患侧睾丸均坏死予切除.另5例睾丸复位后血运恢复正常,行阴囊内固定术.1
Testicular torsion, also known as spermatic cord torsion, is a urology emergency, timely diagnosis and treatment is to improve the rate of testicular salvage the key to our hospital from March 1989 to June 1996 13 cases of testicular torsion, the report is as follows.1 Clinical data of this group 13 Cases, 2 to 17 years in 9 cases, 22 to 25 years in 4 cases. Left in 7 cases, of which 1 case of cryptorchidism reverse; right 6 cases. Incidence of 3 hours to 5 days and more. The first visit within 10 hours 5 Cases .2 to 7 days in 8. Delayed diagnosis and treatment of 8 cases in the first hospital or multiple visits to our hospital after another case of early misdiagnosis: incarcerated hernia “surgical exploration found that testicular torsion and reset the testicles were rescued. In addition to 1 case of history of scrotal injury and cryptorchidism were manifested as ’abdominal pain’ have testicular swelling and pain .3 cases of early with nausea and vomiting .Thoracic transverse testis in 4 cases .6 cases of palpation due to local swelling and unsatisfactory. Scrotal palpable cystic mass in 1 case, surgery confirmed Department of spermatic cord testis hydrocele combined with testicular torsion.New diagnosis of 4 cases. Misdiagnosis in 9 cases (misdiagnosed acute testicular epididymitis in 6 cases, ”incarcerated hernia" in 1 case, 1 case of abdominal pain (for the cryptorchidism to reverse), testicular contusion in 1 case.Testicular color ultrasonography in 5 cases, 13 cases of testicular torsion 720 ° in 5 cases, 360 ° in 4 cases, 180 ° in 4 cases. Clockwise to reverse 9 Cases, counterclockwise twisting in 4 cases.Exploring 13 cases of testis in 8 cases of testis were necrotic resection.Other 5 cases of testicular resection blood back to normal, scrotal fixation.1.