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目的 探讨睾丸扭转诊断及治疗方法选择。方法 结合临床症状和体征确诊 15例 16侧睾丸扭转 ,14例手术治疗 ,1例手法复位 ,结合文献进行分析。结果 14例行急诊睾丸探查术 ,其中 8例行睾丸切除术 ,1例行手法复位 ,计有 8例睾丸保留。睾丸切除率达 5 0 %。随访 3～ 12月 ,复位及对侧睾丸形态和功能正常。结论 对睾丸扭转的早期诊断及早期开放手术是提高睾丸保留率的有效方法。
Objective To explore the diagnosis of testicular torsion and treatment options. Methods Fifteen patients with 16 sides of testicular torsion were diagnosed by clinical symptoms and signs, 14 cases were treated by surgery and one case was treated by manual reduction. Results 14 cases of emergency testicular exploration, of which 8 cases underwent orchiectomy, 1 case of manual reduction, there are 8 cases of testicular retention. Testicular resection rate of 50%. Follow-up 3 to 12 months, the contralateral testicular morphology and function was normal. Conclusion Early diagnosis of testicular torsion and early open surgery is an effective method to improve testicular retention.