睾丸附件扭转16例临床分析

目的:探讨睾丸附件扭转的诊断及治疗方法,提高睾丸附件扭转的治疗水平。方法:回顾性分析16例13~42岁睾丸附件扭转患者的发病、治疗和预后等临床资料。结果:左侧睾丸附件扭转11例,右侧5例;发病至确诊时间2小时至8天,15例经彩色多普勒血流显像确诊,1例手术探查时确诊。16例均接受急诊手术治疗,其中12例睾丸已坏死,行睾丸切除;睾丸存活4例,行睾丸固定术。结论:睾丸附件扭转的早期诊断甚为重要,彩色多普勒血流显像是诊断急性睾丸附件扭转的可靠方法,及早手术是避免睾丸坏死的关键。

Torsion of testicular appendage:clinical analysis of 16 cases

Objective：To explore the diagnosis and treatment of torsion of testicular appendage so as to improve the level of treatment. Methods：The clinical data, including the onset, treatment and prognosis of 16 cases of torsion of testicular appendage were reviewed. The age of the patients ranged from 13 -42 years. Results：Eleven cases had left side torsion of testicular appendage and 5 cases the right side. The elapse of time from onset to definite diagnosis was 2 h -8 d. The diagnosis of torsion of testicular appendage in 15 cases was based on color Doppler flow imaging（CDFI） and 1 case was verified by operation. All the 16 cases underwent acute operation. Twelve cases of testicles were removed for necrosis, and only 4 cases of testicles were salvaged by operative detorsion. Conclusions： Early diagnosis of torsion of testicular appendage is very important, and CDFI is reliable for diagnosis of torsion of testicular appendage. Immediately operation after admission is essential for salvage of the testicle.