[Diagnostic and treatment strategies for testicular torsion].

Q4 Medicine

中华男科学杂志 Pub Date : 2025-03-01

Qing-Song Meng, Wan-Ze Zhang, Ming Zhang, Jiang-Hua Jia, Xin Wang, Wan-Li Ma, Yao-Hua Wang, Ya-Xuan Wang

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引用次数: 0

Abstract

Objective: To investigate the differences between high-frequency ultrasound-guided manual detorsion combined with surgery (MD+S) and surgery alone in the treatment of testicular torsion, and to provide some new evidence for the timely diagnosis and treatment of the disease.

Methods: We retrospectively analyzed the clinical data on 134 cases of unilateral testicular torsion within 48 hours treated in our hospital by MD+S or by surgery alone from January 2015 to May 2022. We statistically analyzed the age distribution, and duration and degrees of testicular torsion, followed by comparison between the two groups.

Results: In the 134 cases, the median age of onset was 15 (13－19) years old, the median onset-to-visit time was 15 (8－25) hours, and the median degree of torsion was 360° (180°－1080°). Of the total number of patients, 21 underwent testicular excision and the other 113 were treated with the testis preserved, with no statistically significant difference in age distribution between the two groups (P>0.05), and a higher rate of testis resection in those with longer duration and greater angle of torsion (P<0.05). Totally, 33 of the patients were assigned to the MD+S group and 101 to the surgery alone group. According to the actual clinical conditions and excluding those with torsion time longer than 24 hours and torsion angle greater than 720 °, 28 of the patients underwent ultrasound-guided MD+S (with 1 case of testis resection, 3.6%), and 68 received surgery alone (with 7 cases of testis resection, 10.3%). The rate of testis resection was higher in the surgery alone than that in the MD+S group, but with no statistically significant difference between the two groups (P>0.05), which was considered to be related to the small sample size in this study.

Conclusion: The popularization of testicular torsion knowledge can shorten the onset-to-visit time, and reasonable manual detorsion before emergency surgery can reduce the rate of testis resection.

本刊更多论文

【睾丸扭转的诊断和治疗策略】。

目的：探讨高频超声引导下手工扭转联合手术（MD+S）与单纯手术治疗睾丸扭转的差异，为本病的及时诊断和治疗提供一些新的依据。方法：回顾性分析2015年1月至2022年5月在我院接受MD+S或单纯手术治疗的134例单侧睾丸扭转患者48小时内的临床资料。统计两组患者睾丸扭转的年龄分布、持续时间和程度，并进行比较。结果134例患者中位发病年龄为15（13-19）岁，中位发病至就诊时间为15（8-25）小时，中位扭转度为360°（180°-1080°）。其中切除睾丸21例，保留睾丸113例，两组患者年龄分布差异无统计学意义（P < 0.05），扭转时间越长、扭转角度越大，睾丸切除率越高（P < 0.05），考虑与本研究样本量小有关。结论：普及睾丸扭转知识可缩短患者起病至就诊时间，急诊术前合理的手工扭转可降低睾丸切除术的成功率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中华男科学杂志 Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

发文量

5367

期刊介绍： National journal of andrology was founded in June 1995. It is a core journal of andrology and reproductive medicine, published monthly, and is publicly distributed at home and abroad. The main columns include expert talks, monographs (basic research, clinical research, evidence-based medicine, traditional Chinese medicine), reviews, clinical experience exchanges, case reports, etc. Priority is given to various fund-funded projects, especially the 12th Five-Year National Support Plan and the National Natural Science Foundation funded projects. This journal is included in about 20 domestic databases, including the National Science and Technology Paper Statistical Source Journal (China Science and Technology Core Journal), the Source Journal of the China Science Citation Database, the Statistical Source Journal of the China Academic Journal Comprehensive Evaluation Database (CAJCED), the Full-text Collection Journal of the China Journal Full-text Database (CJFD), the Overview of the Chinese Core Journals (2017 Edition), and the Source Journal of the Top Academic Papers of China's Fine Science and Technology Journals (F5000). It has been included in the full text of the American Chemical Abstracts, the American MEDLINE, the American EBSCO, and the database.