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目的 :提高精索扭转的诊断和治疗水平。方法 :回顾性总结了 15例精索扭转的临床资料。结果 :15例手术探查 ,5例睾丸获救 ,术后 6个月随访 3例睾丸大小质地基本正常 ,2例睾丸较对侧缩小约 1/3 ,10例睾丸坏死切除 ,病理检查均为睾丸出血、坏死 ,其中 1例先后双侧扭转者 1年后随访右侧保留的睾丸明显缩小 ,无生精功能。结论 :对青少年突发的阴囊疼痛应考虑到本病的可能 ,彩色多普勒超声显像 (CDFI)检查是一种高效、可靠的诊断方法。早期手术探查可提高睾丸存活率。主张对侧睾丸应作预防性固定。
Objective: To improve the diagnosis and treatment of sphincter twisting. Methods: The clinical data of 15 cases of spermatic cord torsion were retrospectively reviewed. Results: In 15 cases of surgical exploration and 5 cases of testicular salvage, the size of testis was basically normal in 3 cases, followed by 2 months after operation. The testis of 2 cases was reduced by about 1/3 compared with the contralateral side, and 10 cases of testicular necrosis were resected. , One case of necrosis, one case of bilateral torsion followed by 1 year after the right side of the testicles retained significantly reduced, no spermatogenesis. CONCLUSIONS: Scrotal pain in young people should take into account the possibility of this disease. Color Doppler ultrasound imaging (CDFI) is an effective and reliable diagnostic method. Early surgical exploration can improve testicular survival. Advocates contralateral testicular should be preventive fixation.