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自1991年7月至1995年8月我们共收治睾丸扭转8例。报告如下。 1 临床资料本组8例,年龄11～38岁。发病到就诊时间为3小时至7天。左侧5例,右侧3例。6例发病前白天有剧烈活动,夜间睡眠时突发睾丸疼痛,2例白天运动时突然发病。5例疼痛沿精索向上放射,4例伴有恶心呕吐。查体发现8例睾丸均上抬,3例抬高呈横位。睾丸触痛,质地较硬,与附睾分界不清,阴囊抬高时睾丸疼痛加重。2例可见阴囊皮肤红肿。8例均行彩色多普勒超声检查见,3例血流减慢,2例血流明显减少,2例血流消失,并发现患侧睾丸均有不同程度的肿胀,1例首次检查睾丸动脉血流正常,3小时后睾丸血流明显减慢。 8例均行手术治疗,扭转720度者1例,540度者
From July 1991 to August 1995 we treated a total of 8 cases of testicular torsion. The report is as follows. 1 Clinical data The group of 8 patients, aged 11 to 38 years old. The onset to treatment time is 3 hours to 7 days. Left in 5 cases, right in 3 cases. 6 cases before the onset of intense activity during the day, nighttime sudden testicular pain during sleep, 2 cases of sudden onset of exercise during the day. Five cases of pain radiating up the spermatic cord, 4 patients with nausea and vomiting. Examination showed that 8 cases of testis were lifted, 3 cases showed elevated elevation. Testicular tenderness, hard texture, and epididymis demarcation is unclear, scrotal elevation testicular pain increased. 2 cases of scrotal skin irritation. 8 cases underwent color Doppler ultrasound examination, 3 cases of blood flow slowed down, 2 cases of blood flow was significantly reduced, 2 cases of blood flow disappeared and found ipsilateral testis have varying degrees of swelling, 1 case of the first testis testis Normal blood flow, testicular blood flow was significantly slowed after 3 hours. 8 patients underwent surgical treatment, turning 720 degrees in 1 case, 540 degrees