标题：睾丸扭转或精索扭转诊治108例分析

      作者：刘洪杰，许振强，庄志明，郑周达，林海利，张朝贤
    (漳州市医院福建医科大学附属漳州市医院泌尿外科，福建 漳州 363000)

      卷次： 2016年27卷19期

      【摘要】 目的 探讨睾丸扭转或精索扭转的诊治方法，减少误诊概率。方法 回顾性分析我院泌尿外科2005
年1月至2016年1月收治的108例睾丸扭转或精索扭转者临床诊治资料。结果 患者年龄2~28岁，平均14.5岁，小
于18岁者占84%，左侧睾丸扭转者90例，占83.3%；病情发作至明确诊断4 h~15 d，12 h以上者占91.5%；患者术前
均行阴囊彩色多普勒，疑似病例均急诊手术探查，符合率为90.1%；48例行患侧睾丸切除，60例行手术复位、固定，
睾丸保留。术中常规固定对侧正常睾丸。结论 阴囊疼痛患者需急诊行阴囊彩色多普勒检查，疑似病例建议急诊
手术探查，提高保留睾丸概率。

      【关键词】 睾丸扭转；精索扭转；彩色多普勒超声；外科手术

      【中图分类号】 R697+.22 【文献标识码】 B 【文章编号】 1003—6350（2016）19—3228—02


Diagnosis and treatment of testicular torsion or spermatic cord torsion (Report of 108 cases).
LIU Hong-jie, XU
Zhen-qiang, ZHUANG Zhi-ming, ZHENG Zhou-da, LIN Hai-li, ZHANG Chao-xian. Department of Urinary Surgery,
Zhangzhou Hospital, the Affiliated Hospital of Fujian Medical Univerlisty, Zhangzhou 363000, Fujian, CHINA

【Abstract】 Objective To discuss the diagnostic methods for testicular torsion or spermatic cord torsion in or-
der to reduce misdiagnosis. Methods The clinical data of 108 patients with testicular torsion or spermatic cord torsion
in Department of Urinary Surgery of our hospital were reviewed and analyzed. Results The patients were 2~28 years
old, with the average age of 4.5 years, and 84% of patients were younger than18 years. Ninety patients (83.3%) had tes-
ticular torsion in the left side. It cost 4 h~15 d to obtain a definite diagnosis, with 91.5%>12 h. Before surgery, the pa-
tients were all examined by color Doppler ultrasonography, and the suspected cases were confirmed by emergency opera-
tion, with the coincidence of 90.1%. The ipsilateral testicles were resected in 48 cases, and were salvaged by surgical de-
torsion and orchiopexy in 60 cases. All the contralaleral testicles were performed orchiopexy. Conclusion Patients with
acute scrotum pain should be examined by color Doppler ultrasonography. The suspected patients for testicular torsion
should be further conformed by emergency operation, in order to improve the testicular retention rate.

      【Key words】 Testicular torsion; Spermatic cord torsion; Color Doppler ultrasonography; Surgery
·临床经验·doi:10.3969/j.issn.1003-6350.2016.19.046