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目的提高睾丸扭转的诊治水平。方法对46例睾丸扭转的临床资料进行总结,46例平均年龄15岁,<1 2岁者占67.4%,左侧35例占76.1%。结果 2例手法复位成功,3例手法复位失败,19例睾丸复位固定,24例坏死睾丸切除。结论 CDFI应作为诊断该疾病的首选检查方法,睾丸扭转一旦确诊或疑有睾丸扭转的患者应积极手术探查,以期挽救睾丸。对于确诊睾丸坏死者需行切除术。
Objective To improve the diagnosis and treatment of testicular torsion. Methods The clinical data of 46 cases with testicular torsion were summarized. The average age of 46 cases was 15 years old, 67.4% of whom were <12 years old and 35 cases left were 76.1%. Results Two cases were successful in procedure reduction, three cases failed in procedure reduction, 19 cases were fixed in testis, and 24 cases were necrotic orchidectomy. Conclusion CDFI should be used as the first choice for the diagnosis of the disease. Once the testicular torsion is confirmed or the testicular torsion is suspected, CDFI should be actively explored in order to save the testis. For the diagnosis of testicular necrosis need resection.