Bourne H H, Lee R E
Urology. 1975 Jan;5(1):73-5. doi: 10.1016/0090-4295(75)90307-6.
Forty-seven cases of torsion of the spermatic cord and testicular appendages have been reviewed. Twenty-eight patients with acute spermatic cord torsions underwent surgical correction. Only 10 were treated in time to preserve viability. The other cases were either gangrenous and required orchidetomy or were questionably viable. Acute, painful scrotal swelling with negative e findings on urinalysis is a surgical emergency. Ten patients had warning attacks, but because of delay in diagnosis and treatment, 4 required orchidectomy. Those patients with spermatic cord torsion who were detorsed before twelve hours had elapsed had viable testes. Patients with complaints of intermittent scrotal sweling and pain, with negative urinalysis, may be suffering from intermittent patients were treated in this manner. Six of these had a transverse lie of both testes, which suggested the underlying anatomic defect leading to torsion of the spermatic cord. The diagnosis of epididymitis or epididymo-orchitis is untenable with a negative finding on urinalysis and results in delay incorrect diagnosis and treatment.
回顾了47例精索和睾丸附件扭转病例。28例急性精索扭转患者接受了手术矫正。只有10例得到及时治疗以保留睾丸活力。其他病例要么已发生坏疽而需要进行睾丸切除术，要么睾丸活力存疑。急性、疼痛性阴囊肿胀且尿液分析结果为阴性是一种外科急症。10例患者有先兆发作，但由于诊断和治疗延误，4例需要进行睾丸切除术。在12小时内解除扭转的精索扭转患者的睾丸仍有活力。主诉间歇性阴囊肿胀和疼痛且尿液分析结果为阴性的患者可能患有间歇性精索扭转。6例患者双侧睾丸呈横位，这提示了导致精索扭转的潜在解剖缺陷。尿液分析结果为阴性时，附睾炎或附睾睾丸炎的诊断不成立，会导致诊断和治疗延误。
