前言目的:探讨如何早期发现儿童睾丸扭转。方法:回顾性分析24例睾丸扭转的临床资料。结果:年龄4个月~15岁,平均8.5岁。左睾丸17例,右睾丸7例。发病到手术时间1h~4个月。初诊确诊为睾丸扭转16例,延误诊断8例。术前均行彩超检查,1例4个月患儿拒绝治疗,手术探查23例,6例保留睾丸,17例行睾丸切除。结论:睾丸坏死不仅与扭转度数和时间有关,还和扭转的松紧度有关;彩色多普勒超声对睾丸扭转的早期诊断具有重要的参考价值;小儿阴囊急症疑为睾丸扭转应早期手术探查。
Objective:Toexploretheearlydiagnosisoftesticulartorsioninchildren.Methods:Theclinicaldataof24patientswithtesticulartorsionwereanalyzedretrospectively.Results:Thepatientsrangedinagefrom4monthsto15years(mean(10.3)years),17leftand7righttestesinvolved.Thedurationbetweentheonsetandoperationvariedfrom1hourto4months.Diagnoseswereinitiallyandcorrectlymadein16casesanddelayedin8.Surgicalexplorationswerecarriedoutin23cases,andresectionofthetes...