彩色多普勒引导下手法复位治疗睾丸扭转体会.docVIP

彩色多普勒引导下手法复位治疗睾丸扭转体会 　　[摘要] 目的 探讨在彩色多普勒超声引导下手法复位治疗睾丸扭转的可行性。 方法 选取2012年1月～2016年6月入住首都医科大学附属北京儿童医院急症外科的睾丸扭转患儿101例，在彩色多普勒超声检测和引导下对其中76例患者进行手法复位，观察手法复位成功率。 结果 76例（左侧扭转48例，右侧扭转28例）患儿中经手法复位获得成功病例63例（左侧成功41例，右侧成功22例），总成功率为82.89%。9例复位不全，4例失败。 结论 站立位非麻醉状态下超声引导手法复位有利于提高睾丸扭转（尤其是睾丸不全扭转）手法复位的成功率和可操作性。急诊手术前及时行手法复位有助于提高扭转睾丸挽救率。此技术在基层医院的推广应用有望降低睾丸扭转造成的睾丸切除率。 　　[关键词] 超声检查；睾丸扭转；手法复位 　　[中图分类号] R445 [文献标识码] A [文章编号] 1673-7210（2016）11（c）-0092-04 　　Experience of manual reduction under color Doppler sonography in the treatment of testicular torsion 　　LI Xianling1 LIU Tingting1 ZHANG Qinming2▲ JIA Liqun3 　　1.Department of Emergency Surgery， Beijing Childrens Hospital， Capital Medical University， Beijing 100045， China； 2.Department of Pediatric Surgery， United Family Hospital， Beijing 100016， China； 3.Department of Ultrasonic Image， Beijing Childrens Hospital， Capital Medical University， Beijing 100045， China 　　[Abstract] Objective To evaluate the feasibility of manual reduction under color Doppler sonography in the treatment of testicular torsion. Methods 101 children with testicular torsion were enrolled from January 2012 to June 2016 in Emergency Surgery Department of Beijing Childrens Hospital， Capital Medical University. 76 patients were conducted manual reduction under color Doppler sonography. Manual reduction success rate was observed. Results Among 76 cases （left side of 48 cases， right side of 28 cases）， 63 cases were successfully reduced （left side of 41， right side of 22）. Total success rate was 82.89%. 9 cases were not reduced completely and 4 cases failed. Conclusion Upright ultrasound-guided manual reduction without general anesthesia may improve manual reduction success rate and maneuverability of testicular torsion （especially for incomplete testicular torsion）. Manual reduction may help increase the rate of testicular salvage in a timely manner before emergency surgery and should extend this skill to primary hospital with attempt to reduce the possibility of testic