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Zhonghua nan ke xue = National journal of andrology · 2012

[Value of spermatic cord sonography in the early diagnosis and treatment of testicular torsion].

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Hao Jian-Wei, Du Guang-Hui, Ding De-Gang, Liu Zhong-Hua, Zhang Xiang-Sheng, Shi Hong-Lin, Wu Gang

Аннотация

OBJECTIVE: To improve the early diagnosis and therapeutic outcomes of testicular torsion.

METHODS: We retrospectively reviewed the clinical data of 49 cases of testicular torsion along with the results of their intratesticular color Doppler flow imaging (CDFI) and spermatic cord sonography.

RESULTS: Of the 49 cases, 42 showed abnormal intratesticular blood flow, including 3 cases of increased blood flow, while the other 7 presented no obvious abnormality. Morphological abnormality of the spermatic cord was found in 47 cases. Twenty-eight cases underwent testis removal, and the other 21 received detorsion and orchidopexy, in which 12 testes were preserved with normal size and blood flow.

CONCLUSION: Spermatic cord sonography and intratesticular CDFI play an important role in the early diagnosis of testicular torsion. And early surgical exploration contributes to the preservation of the testis.

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