睾丸附件扭转16例临床分析

    Torsion of testicular appendage: clinical analysis of 16 cases

    • 摘要: 目的:探讨睾丸附件扭转的诊断及治疗方法,提高睾丸附件扭转的治疗水平。方法:回顾性分析16例13~42岁睾丸附件扭转患者的发病、治疗和预后等临床资料。结果:左侧睾丸附件扭转11例,右侧5例;发病至确诊时间2小时至8天,15例经彩色多普勒血流显像确诊,1例手术探查时确诊。16例均接受急诊手术治疗,其中12例睾丸已坏死,行睾丸切除;睾丸存活4例,行睾丸固定术。结论:睾丸附件扭转的早期诊断甚为重要,彩色多普勒血流显像是诊断急性睾丸附件扭转的可靠方法,及早手术是避免睾丸坏死的关键。

       

      Abstract: Objective: To explore the diagnosis and treatment of torsion of testicular appendage so as to improve the level of treatment.Methods: The clinical data,including the onset,treatment and prognosis of 16 cases of torsion of testicular appendage were reviewed.The age of the patients ranged from 13-42 years.Results: Eleven cases had left side torsion of testicular appendage and 5 cases the right side.The elapse of time from onset to definite diagnosis was 2 h-8 d.The diagnosis of torsion of testicular appendage in 15 cases was based on color Doppler flow imaging(CDFI) and 1 case was verified by operation.All the 16 cases underwent acute operation.Twelve cases of testicles were removed for necrosis,and only 4 cases of testicles were salvaged by operative detorsion.Conclusions: Early diagnosis of torsion of testicular appendage is very important,and CDFI is reliable for diagnosis of torsion of testicular appendage.Immediately operation after admission is essential for salvage of the testicle.

       

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