CAJ | 학술논문

目的提高睾丸扭转的诊疗水平,使基层或非专科医师能够对睾丸扭转早期确诊,减少误诊致睾丸切除病例的发生.方法选取2008年9月-2012年2月张家港市第一人民医院收治的12例睾丸扭转患者的临床资料.结果9例行睾丸切除术,术后组织病理证实睾丸坏死;3例行睾丸复位固定者3例睾丸存活,目前未再发生扭转,但存在不同程度睾丸萎缩.结论对本病认识不足是延误诊断的主要原因,严格体格检查和彩超是诊断睾丸扭转的重要手段.提高诊治水平,早期发现,早期手术探查可有效防止睾丸丢失.
목적제고고환뉴전적진료수평,사기층혹비전과의사능구대고환뉴전조기학진,감소오진치고환절제병례적발생.방법선취2008년9월-2012년2월장가항시제일인민의원수치적12례고환뉴전환자적림상자료.결과9례행고환절제술,술후조직병리증실고환배사;3례행고환복위고정자3례고환존활,목전미재발생뉴전,단존재불동정도고환위축.결론대본병인식불족시연오진단적주요원인,엄격체격검사화채초시진단고환뉴전적중요수단.제고진치수평,조기발현,조기수술탐사가유효방지고환주실.
Objective To improve the diagnosis and treatment level of testicular torsion, make basic level or a specialist to testicular torsion can be diagnosed early,reduce misdiagnosis induced testicular resection cases. Methods A retrospective analysis of 12 cases of testicular torsion in patients with clinical data. Results 9 cases of testicular excision, postoperative pathology confirmed testicular necrosis;3 cases of testicular fixation in 3 cases of testicular viability,at present has not reversed, but the presence of different degrees of atrophy of testis. Conclusion Lack of recognizing this disease is the main reason for Misdiagnosis;strict physical examination and color Doppler ultrasound is an important means for diagnosis of testicular torsion, elevate the level of diagnosis and treatment, early detection, early operation can effectively prevent the loss of testis.