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睾丸扭转是一种血管意外,诊治不及时,患睾失去救治机会,会给患者造成心理、性功能和生育上的障碍。本文报告5例,结合文献谈谈诊治体会。临床资料一、临床表现(附表) 二、治疗结果手术探查4例。扭转程度360°2例,540°1例,720°1例,扭转方向:左侧睾丸为逆时针扭转,右侧睾丸为顺时针方向。4例睾丸附睾均坏死而切除。例3,手法复位成功,随访1年未见复发。讨论一、诊断问题,本文4例曾在外院误诊为急性睾丸炎(2例)、急性附睾炎(1例)、嵌顿疝(1例)。文献报告有误诊为急性阑尾炎、睾丸肿瘤、肠扭转等。国内一组11例睾丸扭转,6例被误诊,可见本病的误诊率很高。
Testicular torsion is a vascular accident, diagnosis and treatment is not timely, suffering from testicular loss of treatment opportunities, will cause psychological, sexual function and childbirth obstacles. This article reports 5 cases, combined with the literature to talk about diagnosis and treatment experience. Clinical data First, the clinical manifestations (Schedule) Second, the treatment of surgical exploration in 4 cases. Twisting 360 ° in 2 cases, 540 ° in 1 case and 720 ° in 1 case. Torsion direction: left testis was reverse-clockwise and right testis was clockwise. 4 cases of testicular epididymal necrosis and resection. Example 3, successful reduction of approach, follow-up 1 year no recurrence. Discussion First, the diagnosis, the four cases in this hospital were misdiagnosed as acute orchitis (2 cases), acute epididymitis (1 case), incarcerated hernia (1 case). Literature reports misdiagnosed as acute appendicitis, testicular tumors, intestinal torsion and so on. A group of 11 cases of testicular torsion, 6 cases were misdiagnosed, showing a high misdiagnosis rate of the disease.