Kapoor S
Int J Clin Pract. 2008 May;62(5):821-7. doi: 10.1111/j.1742-1241.2008.01727.x.
Torsion of the testis is a medical emergency that is most commonly encountered in adolescents. Patients usually present with sudden onset scrotal pain associated with nausea and vomiting. On physical examination the involved testis is tender, high riding and usually horizontal. The cremasteric reflex is usually absent. If left untreated irreversible ischaemia starts appearing in 6 h. Doppler ultrasound is the diagnostic imaging of choice. The ideal treatment is surgical exploration and orchidectomy with contralateral orchidopexy or bilateral orchidopexy depending on the condition of the affected testis. If surgical options are delayed then manual detorsion should be attempted.
睾丸扭转是一种医学急症，最常见于青少年。患者通常表现为突发阴囊疼痛并伴有恶心和呕吐。体格检查时，受累睾丸触痛、位置上提且通常呈横位。提睾反射通常消失。如果不进行治疗，6小时内就会开始出现不可逆的缺血。多普勒超声是首选的诊断成像方法。理想的治疗方法是手术探查，并根据患侧睾丸的情况进行患侧睾丸切除术及对侧睾丸固定术或双侧睾丸固定术。如果手术选择被推迟，则应尝试手法复位。
