论文部分内容阅读
目的:探讨急性睾丸扭转的诊治方法。方法:回顾分析11例睾丸扭转的发病、治疗及预后。结果:本组在安静(6例)或睡眠(3例)及剧烈运动时(2例)发病,左侧睾丸扭转8例,右侧扭转3例;发病至就诊时间3 h~10 d;其中误诊为附睾睾丸炎6例,鞘膜积液出血2例,绞窄性疝1例,均接受手术治疗。10例为鞘膜内扭转,其中8个睾丸已坏死,行睾丸切除术;睾丸存活2个,行睾丸固定术。1例为鞘膜外扭转,睾丸已坏死并切除。结论:睾丸扭转是常见泌尿外科急症,及早明确诊断及手术是避免睾丸坏死的关键。
Objective: To investigate the diagnosis and treatment of acute testicular torsion. Methods: The incidence, treatment and prognosis of testicular torsion in 11 cases were retrospectively analyzed. Results: In the group of quiet (6 cases) or sleep (3 cases) and strenuous exercise (2 cases), the left testicular torsion in 8 cases, the right side of the reverse in 3 cases; onset to treatment time 3 h ~ 10 d; Misdiagnosed as epididymoid orchitis in 6 cases, 2 cases of hydrocele bleeding, strangulated hernia in 1 case, were undergoing surgical treatment. 10 cases of intrathecal torsion, of which 8 testicular necrosis, orchidectomy; testicular survival 2, line testis fixation. 1 case of extracapsular torsion, testicular necrosis and excision. Conclusion: Testicular torsion is a common emergency of urology. Early diagnosis and operation are the keys to avoid testicular necrosis.