摘要
目的探讨睾丸扭转临床误诊及漏诊的原因。方法回顾2000年1月～2011年12月间确诊的32例睾丸扭转病例，对其诱因、临床表现、辅助检查及相关手术结果等进行详细分析，明确误诊及漏诊的原因。结果32例睾丸扭转者首诊即被确诊者仅17例（53．1％）；3例（9．4％）在首诊时被误诊为附睾炎；8例青春前期患儿中6例被漏诊；13例（40．6％）因睾丸缺血坏死而切除睾丸。结论睾丸扭转者漏诊率较高与患者主诉不详、临床表现多变以及首诊医生对其认识不足有关。
Objective To study the reasons of misdiagnosis and missed diagnosis of testicular torsion in emergency department and treatment thereof. Methods The clinical data of 32 cases with testicular torsion confirmed by operation, aged 42 days to 35 years, with the main symptoms of acute unilateral scrotum severe perseverative pain, were analyzed. Results 19 of the 32 patients （59.4%） were aged 13-1. Only 17 of the 32 cases （53.1%） were diagnosed correctly in the first visit. Three eases were misdiagnosed as with epididymitis. Missed diagnosis was seen in 6 of the 8 prepuberty boys. 13 of the 32 eases the （40.6%） underwent orehiectomy due to testicular necrosis. Conclusion The correct diagnosis rate of testicular torsion is still low. The main reasons of misdiagnosis and missed diagnosis include the patients fail to describe their symptoms. the clinical manifestations are various; and the medical doctors fall to recognize this disease.
出处
《中国急救复苏与灾害医学杂志》
2013年第4期328-330,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
睾丸扭转
诊断
急诊
Testicular torsion
Diagnosis
Emergency
