CAJ | 학술논문

目的探讨睾丸扭转的诊断与治疗.方法分析38例睾丸扭转病例的诊断与治疗临床资料.结果 38确诊睾丸扭转行手术治疗,37例行患侧睾丸切除,1例保留睾丸并作固定术处理.随访24个月,38例无对侧无发生睾丸扭转,1例保留睾丸者未见出现睾丸萎缩或恶变.结论彩色多普勒超声能作为确诊睾丸扭转首选检查方法,睾丸扭转确诊后尽早手术治疗.对于缺血坏死的睾丸,不应盲目保留,要手术切除.以免影响日后生育.
목적 탐토고환뉴전적진단여치료.방법 분석38례고환뉴전병례적진단여치료림상자료.결과 38학진고환뉴전행수술치료,37례행환측고환절제,1례보류고환병작고정술처리.수방24개월,38례무대측무발생고환뉴전,1례보류고환자미견출현고환위축혹악변.결론 채색다보륵초성능작위학진고환뉴전수선검사방법,고환뉴전학진후진조수술치료.대우결혈배사적고환,불응맹목보류,요수술절제.이면영향일후생육.
Objective To investigate the diagnonsis and treatment of testicular torsion.Methods The clinical data on the diagnosis and treatment of 38 patients with testicular torsion were analyzed.Results Of all the patients receiving surgical treatment,37 underwent surgical resection of the affected testicle,and the remaining one received testicular fixation without removal.In a follow-up of 24 months, no testicular torsion developed at the other side.No testicular atrophy or malignancy occurred in the reserved testicle.Conclusions Color Doppler ultrasonic examination can used as the first choice of diagnonsis method.Early surgical treatment is needed after establishment of the diagnosis of testicular torsion.The necrotic testis should not be blindly reserved and should be remove surgically,which is beneficial for fertility in the future.