摘要
目的提高儿童睾丸扭转的诊治水平。方法回顾分析1990-2006年总计103例年龄〈14岁的睾丸扭转患儿诊治的临床资料。结果6例患儿（扭转〈6h）行手法复位成功;手术探查94例,保留睾丸25例,行睾丸固定术23例（19例扭转〈6h,3例扭转12~24h,1例扭转〉24h）,睾丸坏死切除69例。其中,右侧睾丸扭转而左侧精索明显长者19例行对侧睾丸固定术。52例患儿病理报告为睾丸附睾缺血坏死。38例患者获随访1~5年,未发现再发睾丸扭转,4例患侧睾丸萎缩。结论提高对睾丸扭转的重视,加强儿童睾丸扭转的早期诊治。早诊断、及时手术治疗是睾丸成活的关键。
Objective To improve the diagnosis and teatment of testicular torsion.Metholds One hundred and three clinical cases of testicular torsion（14 year old） from 1990 to 2006 were reviewed and analysed.Results The patients ranged in age from 2 days to 14 years（mean 4.7 years）,64 left,34 right and 5bilateral testes involves.Hand replacement succeeded in 6 cases（disease time6h）,surgical examination was carried out in 94,resection of the necrotic testis were performed in 69,orchidopexy were performed in 25（disease time6h in 19,12～24h in 3,24h in 1）,And orchidopexy were performed in 25 of right testicular torsion whose left spermatic cords were obvious long.The patholongical reports were ischemic necrosis of testis and epididymis in 52.The follow up were performed in 38 for 1～5years,there were no relapse of relapse,and atrophy of testis were found in 4.Conclusion The key to improvement of the diagnosis and treatment of testicular torsion,which can be achieved by the combined use of case history,physical.signs and color ultasonography,suraical examination of the scrotum is the best option for testicular torsion.
出处
《四川医学》
CAS
2009年第9期1448-1451,共4页
Sichuan Medical Journal
