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目的:提高睾丸扭转(编者按:实为精索扭转)的诊治水平。方法:回顾性分析21例睾丸扭转患者的临床诊治资料:21例患者中,左侧15例,右侧6例;术前确诊11例,拟诊5例,误诊5例。手法复位2例,睾丸复位固定7例,患侧睾丸切除13例。结果:术后随访3个月～3年,手法复位成功1例;7例睾丸复位固定良好,有1例出现患侧睾丸萎缩;13例行睾丸切除者身体状况良好。结论:睾丸扭转早期诊断甚为重要,应首选彩色多普勒超声检查;及早手术探查是挽救睾丸的关键。
Purpose: To improve the diagnosis and treatment of testicular torsion (Editor’s Note: actually spermatic cord twisting). Methods: The clinical data of 21 patients with testicular torsion were retrospectively analyzed. Of the 21 patients, 15 were on the left and 6 were on the right; 11 were diagnosed preoperatively, 5 were diagnosed and 5 were misdiagnosed. Manual reduction in 2 cases, testicular reset fixation in 7 cases, ipsilateral testicular resection in 13 cases. Results: All the patients were followed up for 3 months to 3 years. One case was successfully treated by hand reduction. Seven cases had a good reduction of testis and 1 case had contralateral testicular atrophy. Thirteen patients underwent orchiectomy were in good condition. Conclusion: Early diagnosis of testicular torsion is very important, color Doppler ultrasound should be the first choice; early surgical exploration is the key to saving the testicles.