第 34卷第 13期 第 三 军 医 大 学 学 报 Vol.34,No.13
retreatedwithorchiectomyandcontralateralorchiopexy.Amongthe12patientswithsurgicalreduc
tion,forthe3caseswithoperationwithin12hafteronset,thesurgerywassucceedbut1casehadtesticular
atrophypostoperatively;forthe5caseswithoperationwithin12to24hafteronset,7caseshadtesticular
survivalafteroperationandtheleft2caseshadtesticularatrophy;forthe2caseswithoperationover24hafter
onset,theybothhadtesticularatrophythoughoperationwassuccess.Inthe12caseswithcontralateral
testicularbiopsy,10casesshowedvarieddecreaseingerm cells,sperm cellsandmaturesperm.FSH was
elevatedin9cases,LHwasincreasedin8casesandTwasdeclinedin4casesinthe12caseswithpreopera
tiveendocrineexamination.Conclusion Salvagerateoftesticulartorsioniscloselyrelatedtothedurationand
thedegreeoftorsion.Delayedtreatmentisanimportantreasonfortesticlemissing.ColorDopplerultrasonogra
phyisrecommendedfirst.Forthepatientswithtorsiontimeover24handrotatingdegreeabove360,orchidec
tomyissuggesteddirectlytoreducethedamagetothehealthycontralateraltesticletoprotectfertility.
[Keywords] testiculartorsion;diagnosis;therapeutics;contralateral;functionchange
Correspondingauthor:WangRui,Email:feng100ke@126.com
睾丸扭转是泌尿外科急症之一,可发生于新生儿 可导致患侧睾丸坏死切除或睾丸萎缩而失去挽救睾
睾丸扭转的诊治及对健侧睾丸功能变化的分析 来自淘豆网m.daumloan.com转载请标明出处.