Diagnosis and treatment of 22 cases of testicular

ncycgdxhl · Wysłany: Czw 11:53, 10 Mar 2011

Diagnosis and treatment of 22 cases of testicular torsion

Fixation. 9 routine fixation patients were followed up 1 to 8 years,[link widoczny dla zalogowanych], 1 case of Gao pill atrophy. Gao pill to reverse the discussion can be divided into sheath capsule type and shape of two sac. One hydrocele sac type occurs in adolescence, while sac appearance occur in the newborn and infants. Hydrocele sac in this group are based,[link widoczny dla zalogowanych], have a clear ipsilateral scrotal pain, and gradually increased. A small number of nausea and vomiting. Scrotal swelling,[link widoczny dla zalogowanych], began only in the affected side, later spread to the scrotum. Gao enlargement pills, hard texture, tenderness,[link widoczny dla zalogowanych], positive, positive pain lifts. Because of testicular torsion, thickening and shortening, Gao pill can provide the top or horizontal position. Early onset of pills and still capable of touch with Gao Gao, the contours, with Gao could go to the front or transverse, the latter is difficult to distinguish the structure inside the scrotum, the affected side raised Gao muscle reflex. Gao pill should be noted that with the testicular appendage torsion torsion, with acute inflammation and acute orchitis Gao differentiated. It is reported that 50% misdiagnosis rate in this group, 8 patients had misdiagnosed as acute pill with Gao Gao Yan, ineffective treatment by inflammation underwent color Doppler ultrasound diagnosis. Color Doppler ultrasound diagnosis of testicular torsion on the accuracy rate of 95% [, can be found in testicular blood flow reduction and disappearance of suspected cases is the preferred screening method. We advocate that all suspected cases should undergo Doppler ultrasound to reduce misdiagnosis. Treatment with manual reduction and surgical treatment of two, but we do not advocate a simple manual reduction, because manual reduction may not be able to reverse completely lifted, and may even increase the reverse. Gao reduction surgery after pill should be carefully observed the recovery of blood supply, if necessary, feasible and rapid pathological examination of the vitality of testicular tissue, to avoid necrosis of testicular retention. Testicular reset, restore the blood supply will be accompanied with a problem of ischemia-reperfusion injury, intraoperative and postoperative medications should be used to reduce anti-free radical damage and protect Gao pills function [21. In addition,[link widoczny dla zalogowanych], as more bilateral testicular anatomical abnormalities, and to prevent recurrence can be simultaneously Gao pill contralateral fixation. Granados time of occurrence of testicular torsion and Gao Wan relationship between survival analysis showed that testicular torsion time 12h Gao pills chances of survival were significantly decreased than before. Of course, testicular torsion is an ischemic necrosis, but also closely related with the degree of torsion, torsion 9O ', sustained only occur 7d Gao pill necrosis; reverse 180. ,3 - 4d Gao pill necrosis occurred; reverse 360 ', l2 ~ 24h Gao pill necrosis occurred; if the reverse 720. , 2h which happened Gao pill necrosis. 9 patients in this group survived Gao pills, there are 7 cases in the surgical exploration within 6h, reversing no more than 360. ; 2 cases surgical exploration within 24h, respectively, to reverse 90. , 180. . Gao pill so long as the diagnosis reversed, early surgical exploration should be to improve the survival rate of Gao pills.