CAJ | 학술논문

目的：总结睾丸扭转的诊疗经验。方法分析2002年～2012年收治的38例睾丸扭转患者的临床资料，所有患者均行超声检查，超声检查提示睾丸、附睾位置改变，睾丸内血流减少或消失。结果36例患者接受手术治疗，其中12例睾丸扭转时间＜6 h患者经手术复位后保留睾丸，2例术后随访发现睾丸较健侧睾丸体积减小。24例扭转时间＞6 h患者中，16例术中发现睾丸坏死行睾丸切除术；复位后睾丸存活5例，睾丸萎缩3例。结论睾丸扭转早期常易误诊，超声检查为首选的辅助检查手段；及早明确诊断、手术探查是避免睾丸坏死、萎缩的关键。
목적：총결고환뉴전적진료경험。방법분석2002년～2012년수치적38례고환뉴전환자적림상자료，소유환자균행초성검사，초성검사제시고환、부고위치개변，고환내혈류감소혹소실。결과36례환자접수수술치료，기중12례고환뉴전시간＜6 h환자경수술복위후보류고환，2례술후수방발현고환교건측고환체적감소。24례뉴전시간＞6 h환자중，16례술중발현고환배사행고환절제술；복위후고환존활5례，고환위축3례。결론고환뉴전조기상역오진，초성검사위수선적보조검사수단；급조명학진단、수술탐사시피면고환배사、위축적관건。
Objective To improve the levels of diagnosis and treatment of testicular torsion. Methods The clinical data of 38 cases of testicular torsion were summarized and analyzed. B-ultrasound showed that the positions of testis and epididymis were changed in scrotum and the blood supply in testis was reduced or disappeared. Results 36 patients (36/38) underwent surgical exploration. 12 cases who received operation within 6 hours from attack time had testicles survival. Of 24 patients who had operation more than 6 hours, only 5 patients had testicles survival. 2 patients refused operation. Conclusion Testicular torsion was often misdiagnosed;Color Doppler ultrasonic examination can serve as a chief adjuvant diagnostic method. Early diagnosis and timely treatment are keys to avoid testicular loss.