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目的分析睾丸扭转的早期诊断和治疗方法 ,提高其早期诊断及治疗水平。方法回顾性总结分析26例睾丸扭转患者的临床资料。结果 3例发病<6 h者手法复位成功;5例6~12 h手术者,睾丸均得以保存;5例12~24 h手术者,3例睾丸得以保存;13例超过24 h手术者,仅4例睾丸得以保存。结论睾丸扭转所致睾丸缺血坏死与睾丸扭转持续时间和睾丸扭转程度密切相关,彩色多普勒超声检查是诊断睾丸扭转的理想手段,早期迅速明确诊断、及时手术复位固定治疗才能最大限度提高睾丸的挽救率,临床上怀疑为睾丸扭转的患者应及早进行手术探查治疗,睾丸扭转持续时间越短,睾丸获救机会越大。
Objective To analyze the early diagnosis and treatment of testicular torsion and improve its early diagnosis and treatment. Methods The clinical data of 26 patients with testicular torsion were retrospectively analyzed. Results Three patients were successfully treated by the procedure of less than 6 hours and were preserved in 5 cases of operation between 6 and 12 hours. Five cases of operation between 12 and 24 hours and three cases of testis were preserved. Thirteen patients underwent surgery for more than 24 hours, only 4 cases of testis can be saved. Conclusion Testicular ischemia and necrosis caused by testicular torsion is closely related to the duration of testicular torsion and the degree of testicular torsion. Color Doppler ultrasonography is an ideal method to diagnose testicular torsion. Early diagnosis can be quickly and quickly diagnosed, and timely surgical resection and fixation can maximize testicular Of the salvage rate, clinically suspected patients with testicular torsion should be surgical exploration as soon as possible, the shorter the duration of testicular torsion, the greater the chance of testicular salvage.