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目的提高睾丸扭转的诊治水平。方法对15例睾丸扭转患者的临床资料进行回顾性分析。结果 15例患者中,首诊时间小于10小时者6例,10～24小时者4例,大于24小时者5例。1例试行手法复位成功,睾丸复位固定8例,其余6例实施睾丸切除。结论对于阴囊病变急诊患者,应高度警惕发生睾丸扭转的可能。睾丸毁损与扭转的时间密切相关,延迟就诊是睾丸丢失的重要原因。CDFI检查存在假阴性,临床高度怀疑时应及早手术探查。
Objective To improve the diagnosis and treatment of testicular torsion. Methods The clinical data of 15 patients with testicular torsion were retrospectively analyzed. Results Among the 15 patients, the first visit time was less than 10 hours in 6 cases, 10 to 24 hours in 4 cases, more than 24 hours in 5 cases. One case of successful trial reset, testicular resection in 8 cases, the remaining 6 cases of orchiectomy. Conclusion For patients with scrotal lesions, the possibility of testicular torsion should be highly vigilant. Testicular damage and torsion are closely related to the time delay in the diagnosis of testicular loss is an important reason. There is a false negative CDFI test, clinical high degree of suspicion should be as early as possible surgical exploration.