睾丸扭转处理与探讨

本文发表于《中华男科学杂志》2004;10(3):185-187

摘要：目的：提高睾丸扭转的诊断和治疗水平。

方法：回顾性分析9例睾丸扭转病例，并结合文献进行分析。结果： 发病年龄12～27岁（平均15岁）,1例经过镇痛治疗后自行复位，8例行手术治疗，其中 7例手术证实为睾丸扭转，1例术中探查为急性附睾炎。睾丸扭转病人例中有6例绕精索旋转180～720°。1例绕与精索垂直的轴线旋转180°，彩色多普勒超声检查准确率为87.5%，所有病例均有阴囊皮肤红肿，Prehn?s征(+)。结论：对突发睾丸疼痛应常规行彩色多普勒超声检查，睾丸扭转方向不全是绕精索轴旋转，手法复位不可靠，若怀疑为睾丸扭转，应急诊手术探查。大连医科大学附属第一医院泌尿外科姜涛

关键词：睾丸扭转；诊断；治疗

Management and Investigation of Testicular torsion

Abstract:Objective: To improve the diagnosis and treatment of testicular torsion. Methods: The clinical data of 9 cases of suspected testicular torsion are retrospectively analyzed to summarize the diagnostic experiences. Results:  The 9 patients were 12-27(mean 15) years old, 8 cases treated by surgery and 1 case by spontaneous detorsion under anesthesia. Among them, 7 cases were proved to be testicular torsion and 1 case was acute epididymitis. Of the 7 cases of testicular torsion ,6 cases were found to have 180-720-degree around spermatic cord and 1 case 180-degree around verticality of spermatic cord. The accuracy rate of Color Ultrasonic examination was 87.5%. Conclusions: Patients with acute scrotum pain should have color Ultrasonic examination, Not all cases of the disease had testicular torsion around the spermatic cord. Emergency operation should be performed on any suspected case of testicular torsion.

Key words: Testicular torsion; Diagnosis; Treatment