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目的探讨睾丸扭转的诊断和治疗方法。方法对18例睾丸扭转患者的临床资料进行回顾性分析和总结,年龄8～46岁,平均19.2岁,左侧13例,右侧5例。结果 18例患者中,初诊确诊为睾丸扭转12例,误诊为急性睾丸附睾炎6例;10例行睾丸扭转复位固定术,8例行睾丸切除术,18例均行对侧睾丸预防性固定术。结论睾丸扭转坏死的概率与扭转时间和程度有关,早期正确诊断和及时手术探查是提高睾丸存活率的关键。
Objective To explore the diagnosis and treatment of testicular torsion. Methods The clinical data of 18 patients with testicular torsion were retrospectively analyzed and summarized. The patients were 8 to 46 years old (average 19.2 years old), with 13 cases on the left and 5 cases on the right. Results Of the 18 patients, newly diagnosed as testicular torsion in 12 cases, misdiagnosed as acute testicular epididymitis in 6 cases; 10 cases of testicular torsion reduction and fixation, 8 cases of orchidectomy, 18 cases of contralateral testicular prophylactic fixation . Conclusion The probability of testicular torsion and necrosis is related to the time and degree of torsion. Correct diagnosis and timely surgical exploration are the keys to improve testicular survival rate.