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目的提高睾丸扭转的诊断和治疗水平。方法回顾性分析56例睾丸扭转患者的临床资料,52例手术探查,行睾丸切除或睾丸复位固定,健侧睾丸固定。4例未手术。结果22例患者经B超及CDFI确诊为睾丸扭转,34例误诊。20例患侧睾丸切除。32例睾丸保留,其中8例萎缩。结论对于青少年患者阴囊急症,首诊医生应高度警惕睾丸扭转,可疑时立即行B超及CDFI检查,避免延误诊治。及时手术探查是提高睾丸成活率的关健。
Objective To improve the diagnosis and treatment of testicular torsion. Methods Retrospective analysis of 56 cases of testicular torsion in patients with clinical data, 52 cases of surgical exploration, orchiectomy or testicular reset fixation, contralateral testicular fixation. 4 cases without surgery. Results Twenty-two patients were diagnosed with testicular torsion by B-ultrasound and CDFI and 34 cases were misdiagnosed. 20 cases of ipsilateral testicular resection. 32 cases of testis reservation, 8 cases of atrophy. Conclusion For patients with scrotal adolescent emergency, the first clinician should be highly vigilant testicular torsion, suspicious immediately underwent B- and CDFI examination to avoid delay in diagnosis and treatment. Timely surgical exploration is to improve testicular survival rate of the key.