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目的:提高精索扭转的早期诊断水平。方法:回顾性分析12例精索扭转的临床资料。结果:11例经手术证实。与术前彩色多普勒血流成像(CDFI)诊断结果一致,其中5例扭转时间短或不全扭转者经手术复位后保留了睾丸,6例因睾丸坏死而予以切除。1例保守治疗。结论:对青少年突发的阴囊疼痛应考虑到本病的可能。CDFI是一种高效、可靠的诊断方法。早期诊断及手术可提高睾丸存活率。主张对对侧睾丸应作预防性固定并随访。
Objective: To improve the early diagnosis of sphincter torsion. Methods: The clinical data of 12 cases of sphincter twisting were retrospectively analyzed. Results: 11 cases were confirmed by surgery. In accordance with the results of preoperative color Doppler flow imaging (CDFI), 5 of the 5 cases had testicular retention after surgery and 6 cases of testicular necrosis. 1 case of conservative treatment. Conclusion: The sudden onset of scrotal pain in adolescents should take into account the possibility of this disease. CDFI is an efficient and reliable method of diagnosis. Early diagnosis and surgery can improve testicular survival. Advocated on the contralateral testicular should be preventive fixation and follow-up.