Bah O R, Roupret M, Guirassy S, Diallo A B, Diallo M B, Richard F
Service d'urologie, CHU de Conakry, BP 2184 Conakry, Guinée.
Prog Urol. 2010 Jul;20(7):527-31. doi: 10.1016/j.purol.2009.12.011. Epub 2010 Mar 4.
To analyze in a retrospective way the clinical and therapeutical aspects of the testicular torsion in our service.
It is a retrospective survey of 15 years, from June 1st, 1993 to May 31 2008 to the urology - Andrology service of Conakry. We have 27 files of patients with torsion of the spermatic cord confirmed to the intervention. A percentage of 70.30% patients were less than 25 years old.
The scrotal pain was the most frequent functional sign (96.3%). Only 11 patients (40.7%) have been received before the sixth hour. The swelling of the scrotum, ascended testis and the sign of Prehn were the dominant physical signs. All patients have been operated. The number of spire towers varied from 1 to 3. Twenty-two testes (81.5%) have been judged viable and fixed. With a median follow-up of 60 months, the testes volume of these patients was stable in 20 cases (90.9%). The postoperative course was simple in 96.3% of cases. Twenty-three patients (85.2%) were released within a week.
Torsion of the spermatic cord remained a dangerous affection because putting in game the vital prognosis of the testis. The only justifiable attitude is the urgent surgical operation.
回顾性分析我院睾丸扭转的临床及治疗情况。
这是一项对1993年6月1日至2008年5月31日科纳克里泌尿外科-男科服务中心15年病例的回顾性调查。我们有27例经手术证实为精索扭转的患者病历。70.30%的患者年龄小于25岁。
阴囊疼痛是最常见的功能体征（96.3%）。只有11例患者（40.7%）在6小时内就诊。阴囊肿胀、睾丸上提和普雷恩征是主要的体征。所有患者均接受了手术。扭转圈数为1至3圈。22个睾丸（81.5%）被判定存活并固定。中位随访60个月，这些患者中20例（90.9%）的睾丸体积稳定。96.3%的病例术后病程简单。23例患者（85.2%）在一周内出院。
精索扭转仍是一种危险疾病，因为它关乎睾丸的重要预后。唯一合理的态度是紧急手术。
