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报告 33例睾丸扭转病例 ,均系单侧发病 ,2 0岁以下占 2 3例。 3例施行手法复位 ,其余 30例行手术探查 ,13例睾丸复位后血供恢复正常行睾丸固定 ,17例睾丸已坏死予以切除。睾丸坏死与病史长短有关联 ,6小时之内者无一例坏死 ,而超过 12小时的 18例中则有 16例发生坏死。提高本病疗效的关键是做到尽早诊断和治疗 ,对睾丸扭转可疑者主张积极手术探查
Report of 33 cases of testicular torsion cases, all unilateral disease, 20 years of age accounted for 23 cases. Three patients underwent surgical resection and the remaining 30 underwent surgical exploration. Blood returned to normal after testicular resection in 13 cases, and 17 cases of testicular necrosis were removed. Testicular necrosis was associated with the length of history, with no necrosis within 6 hours and necrosis in 16 of 18 cases over 12 hours. The key to improve the efficacy of this disease is to do as soon as possible diagnosis and treatment of suspected testicular torsion advocate positive surgical exploration