睾丸扭转诊治24例分析.docVIP

睾丸扭转诊治24例分析 　　[摘要]目的 提高睾丸扭转的诊治水平及保留睾丸率。方法 回顾性分析我院2011年1月～2015年12月5年内诊断睾丸扭转患者的临床诊治资料，提取患者就诊的时间、发病时情况、年龄、预后等进行分析。结果 我院5年内共诊治睾丸扭转24例，均为单侧发病，左侧较右侧多见，发病患者中71%为青少年，仅29%患者在24 h内就诊，24 h内就诊患者保留睾丸率为71.4%，37.5%患者到我院就诊前被误诊为睾丸附睾炎，耽误治疗时机。结论 睾丸扭转是青少年睾丸切除的主要原因，基础医院误诊率高和患者主观延误病情是导致丧失睾丸率高的主要原因，加强社区宣传教育及提高基层医生诊治水平是提高该病保留睾丸率的重要措施。 　　[关键词]睾丸扭转；诊断；睾丸切除；睾丸固定 　　[中图分类号] R697.22 [文献标识码] A [文章编号] 1674-4721（2016）08（a）-0070-03 　　[Abstract]Objective To improve the diagnosis and treatment of testicular torsion and testicular preservation ratio.Methods Patients who were diagnosised testicular torsion in 5 years from January 2011to December 2015，were retrospectively analyzed the clinical data of visited time，happened situation，age and prognosis.Results There were 24 cases of testicular torsion who had been diagnosised and treated at our hospital in 5 years.All were unilateral and the left side was more common than the right side.71% of patients were teenagers.Only 29% came to the hospital within 24 hours，and testicular preservation ratio was 71.4%.37.5% of the patients were misdiagnosed as testicular epididymitis before they came to out hospital，and delayed the timing of treatment.Conclusion Testicular torsion is the main reason for young people who lose thire testicle.Patients with low awareness of the disease and misdiagnosed ratio is high in the basic hospital.So enhancing the community education and improving the level of primary care physicians is an important measure to improving the diagnosis and treatment of disease and orchiopexy ratio. 　　[Key words]Testicular torsion；Diagnosis；Orchiectomy；Testicular fixation 　　睾丸扭转是指精索扭转后睾丸和附睾等出现血运障碍，并发生一系列病理生理改变的器质性病变，如不及时复位，缺血加重可导致睾丸坏死，最终影响生育功能[1]。睾丸扭转是泌尿外科常见的急症之一，多发生于青少年，因其影响生育，如不及时治疗，将造成不良的社会后果[1]。然而，临床上常由于各种原因导致病情延误，造成不可挽回的损失。为提高睾丸扭转的早期诊断和治疗水平，提高保留睾丸的比例，本文回顾性分析我院5年来诊治的睾丸扭转患者的临床资料，现报道如下。 　　1资料与方法 　　1.1一般资料 　　回顾性分析我院2011年1月～2015年12月5年内诊断睾丸扭转病例共24例，年龄3～47岁，平均18.5岁，中位年龄为17岁。其中1～9岁共1例（4.2%），10～19岁共17例（70.8%），20～29岁共4例（16.7%），≥30岁共2例（8.3%）。所有患