A Retrospective And Clinical Study Of 50 Cases Patients With Testicular Torsion In Its Diagnosis And Treatment

Introduction and objectives:The testicular torsion also called spermatic cord torsion. The incidence of testicular torsion can be any age. The testicular torsion is one of the accident and emergency diseases in the department of urology, it is a common cause of acute pain in the scrotum. Its mechanism of testicular torsion is turning of spermatic cord along its longitudinal axis, causing testicular blood supply is blocked. It is very easily misdiagnosed as acute epididymitis, orchitis or other diseases, such as delays, it can cause testicular necrosis or irreversible testicular atrophy. Early diagnosis and surgical treatment on improving the survival rate of testes have important clinical implications. This article collected the clinical materials in the first hospital of Jilin University between January 2006 to 2010, and retrospective analysed 50 cases patients of testicular torsion, in discussion on how to call on more fast and accurate diagnosis of the disease, at the same time giving patients the best treatment options.Method:Retrospective analysis in 50 cases patients of testicular torsion was made, including the patient's medical history, summarizing their onset, diagnosis, treatment, follow-up of results, and statistical analysis.Result:In 50 patients with testicular torsion,2 cases for sheath shape reversed,48 cases of Tunica-reversed.18 cases clockwise, counterclockwise torsion in 32 cases. Reverse separately 180 degrees 12,360 degrees in 29,540 degree in 6, and 720 degree in 3 cases. At the same time given an operative treatment. In the follow-up process, the recurrence of 50 cases patients with testicular torsion in contralateral testis was in 2 case, it occur in no-prophylactic contralateral testis fixed patients, it not occur in prophylactic contralateral testis fixed patients, two groups appears to have with statistically significant differences.Conclusion:1. The increasing the rate of diagnosed in early stage helps to retain the torsional testes.2. The diagnostic rate with color Doppler blood flow imaging is 100% for a fully reverse testis. 3. when it cannot definitely rule out testicular torsion, operation in a timely manner, this is the key to decrease the risk of torsional testes.4. If reverse in less than 6 hours, testicular testis retain high opertive success rate。If the time of onset is short, low drgree of testicular torsion, testicular atrophy occurs in less chances.5. The doctor should inform patients that do not agree with the contralateral testis fixation, such as scrotum pain and other symptoms occurs, they should go as early as possible to the hospital for diagnosis and treatment.