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目的:提高睾丸扭转早期的诊断和治疗水平。方法:回顾性分析49例睾丸扭转的临床资料及睾丸内血流声像图和精索超声特征。结果:49例睾丸扭转患者,彩色多普勒血流显像出现睾丸血流改变42例,其中血流增加3例,睾丸血流无明显改变7例;二维超声检查发现精索形态异常47例。手术复位固定21例,睾丸存活12例。结论:彩色多普勒超声扫描精索形态与睾丸血流变化对睾丸扭转的早期诊断有重要价值,尽早手术探查有助于挽救存活睾丸。
Objective: To improve the early diagnosis and treatment of testicular torsion. Methods: A retrospective analysis of 49 cases of testicular torsion clinical data and intra-testicular blood flow sonogram and sperm ultrasound features. Results: In 49 cases of testicular torsion, there were 42 cases of changes of testicular blood flow in color Doppler flow imaging, including 3 cases of increased blood flow and 7 cases of no change of testicular blood flow. Two-dimensional ultrasonography showed abnormal morphology of spermatic cord 47 example. 21 cases of surgical reduction and fixation, testicular survival in 12 cases. Conclusion: Color Doppler ultrasound scan of spermatic cord morphology and testicular blood flow changes in the early diagnosis of testicular torsion has important value, as soon as possible surgical exploration can help save the survival testis.