睾丸扭转误诊23例分析

• 作 者: 白安平 王贵峰
• 机 构: 上蔡县公疗医院外科,上蔡县公疗医院外科 河南省 463800,河南省 463800
• 出 处: 实用诊断与治疗杂志
• 发表日期: 2007年04期
• 关键词: 睾丸扭转 误诊 急性附睾炎 急性睾丸炎

目的:分析睾丸扭转误诊原因,降低睾丸缺失率。方法:回顾本院近7年首诊误诊的23例睾丸扭转病例的临床资料,分析误诊原因。结果:本组首诊18例误诊为附睾炎及睾丸炎,2例误诊为嵌顿疝,2例误诊为睾丸肿瘤。1例误诊为阴囊血肿。结论:对睾丸扭转的临床特点缺乏足够的认识,对病史及体检不细致,基层医院缺乏医技检查,是误诊的主要原因。

Objective: To analyze the causes of misdiagnosis of testicular torsion and reduce the rate of testicular loss. Methods: The clinical data of 23 cases of testicular torsion in the first diagnosis of misdiagnosis in our hospital in recent 7 years were retrospectively analyzed, and the causes of misdiagnosis were analyzed. Results: The first diagnosis of 18 cases of this group misdiagnosed as epididymitis and orchitis, 2 cases misdiagnosed as incarcerated hernia, 2 cases misdiagnosed as testicular tumors. One case was misdiagnosed as scrotal hematoma. Conclusion: The clinical characteristics of testicular torsion lack of adequate understanding of the history and physical examination is not detailed, the lack of medical examination of primary hospitals is the main reason for misdiagnosis.