【摘要】 目的 探讨精索扭转的诊断及治疗方法。方法 回顾性分析我院1996年1月～2005年7月收治的17例精索扭转患者的临床资料。结果 初诊误诊13例。17例均行彩色多普勒血流成像(CDFI)检查，准确率88.2%(15/17)，另2例术中探查确诊为精索扭转。5例扭转时间短，睾丸血运良好者术后保留睾丸，12例行睾丸切除术，所有病例均行对侧探查、固定术。结论 彩色多普勒血流成像是诊断急性精索扭转的首选方法。应尽快手术探查、复位并做预防性固定。

    【关键词】 精索扭转；误诊；诊断；治疗

    Experience of diagnosis and treatment of spermatic cord torsion

    LIU Xiao-bing,ZHOU Li-chao.Department of Urology,Central Hospital,Loudi 417000,China

    【Abstract】 Objective To evaluate the diagnosis and treatment of spermatic cord torsion.Methods The clinical data of 17 cases spermatic cord torsion admitted to our hospital from January 1996 to July 2005 were analyzed retrospectively.Results 13 cases were misdiagnosed in first time.17 cases were performed color Doppler ultrasonography images(CDFI).Corrective rate was 88%(15/17).Another 2 cases were diagnosed spermatic cord torsion after operation.The testicles in other 5 cases were salvaged because of spermatic cord torsion with short time.12 cases were removed and all the cases were performed preventive orchiopexy.Conclusion CDFI was the first choice of diagnostic method for acute testicular torsion.Surgical intervention and detorsion and orchiopexy should be performed as soon as possible. ......