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目的提高睾丸扭转的临床诊治水平。方法对本院2001年1月至2012年9月确诊并治疗的56例睾丸扭转患者的临床资料进行了回顾性分析。结果 56例睾丸扭转患者均行彩色多普勒超声检查及手术治疗,其中51例提示睾丸血流信号减弱或消失。56例均为鞘膜内睾丸扭转,其中35例行患侧睾丸切除术加健侧睾丸固定术;21例行患侧睾丸扭转复位固定术加健侧睾丸固定术。15例发病后6h内就诊手术者,患侧睾丸均存活,6例发病后6～12h手术者仅3例可保留患侧睾丸,35例超过12h手术者均行患侧睾丸切除术。随访12个月,56例术后健侧无睾丸扭转发生,1例保留患侧睾丸者出现睾丸萎缩。结论彩色多普勒超声检查对确诊睾丸扭转十分重要,患者应在6h内手术,早期诊断、及时手术可显著提高睾丸存活率。
Objective To improve the clinical diagnosis and treatment of testicular torsion. Methods The clinical data of 56 patients with testicular torsion diagnosed and treated from January 2001 to September 2012 in our hospital were retrospectively analyzed. Results 56 cases of testicular torsion patients underwent color Doppler ultrasound and surgical treatment, of which 51 cases of testicular blood flow signals decreased or disappeared. 56 cases were intraductal testicular torsion, of which 35 cases of ipsilateral orchidectomy and contralateral testicular fixation; 21 cases of ipsilateral testicular torsion reduction fixation and contralateral testicular fixation. In 15 cases, the testis and ipsilateral testis survived within 6 hours after the onset of disease. Only 3 cases of 6 to 12 hours after operation in 6 cases could retain ipsilateral testis, and 35 cases of operation more than 12 hours underwent ipsilateral orchidectomy. During the follow-up period of 12 months, 56 cases of contralateral no testicular torsion occurred and 1 case of testicular atrophy was reserved in the affected side of the testis. Conclusion Color Doppler ultrasound is very important for the diagnosis of testicular torsion. Patients should be operated within 6h, early diagnosis and timely operation can significantly improve testicular survival rate.