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睾丸扭转26例临床探讨

The clinical study of 26 cases of testicular torsion
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摘要 目的探讨睾丸扭转的临床诊疗方法。方法对26例睾丸扭转患者的临床资料进行回顾性分析。结果26例患者均行彩色多普勒超声检查,术前确诊22例。2例行手法复位,11例行手术复位、固定,13例行患侧睾丸切除,手术病例均行对侧睾丸固定。术后26例均获随访,3例扭转睾丸发生不同程度萎缩。结论彩色多普勒超声检查是诊断睾丸扭转的可靠方法,早期诊断及早期手术是提高睾丸存活率的关键。 Objective To study the methods of diagnosis and treatment of testicular torsion. Methods The clinical data of 26 patients with testicular torsion were analyzed retrospectively. Results All patients had been examined by color Doppler ultrasound, 22 patients mad a definite diagnosis before surgical exploration. 2 cases were manipulative reduction, 11 cases were operative reduction and fixation, 13 cases were made orehidectomy of sick side didymus, operative cases were made orchidopexy of normal side didymus. All of the 26 cases were followed-up. 3 cases who had been followed up had torsion testicles atrophy.Conclusion Color Doppler ultrasonography is a reliable method for the diagnosis of testicular torsion. Early diagnosis and ascertainment is a key factor to improve livabifity of testicle.
作者 韩东江 田勇
出处 《基层医学论坛》 2009年第10期303-305,共3页 The Medical Forum
关键词 睾丸扭转 彩色多普勒超声检查 诊断 手术治疗 Testicular torsion Color Doppler uhrasonography Diagnosis Operative therapy
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