Pan Pradyumna
Pediatric Surgery Unit, Ashish Hospital and Research Centre, Jabalpur, Madhya Pradesh, India.
Indian Pediatr. 2020 Oct 15;57(10):926-928.
To validate the Testicular Workup for Ischemia and Suspected Torsion (TWIST) score for the evaluation of children presenting with acute scrotum.
This prospective study calculated TWIST score in patients of acute scrotum admitted to a pediatric surgery unit. The scoring system consisted of testicular swelling (2 points), hard testicle (2), absent cremasteric reflex (1), nausea/vomiting (1) and high-riding testis (1). All the patients were examined by a pediatric surgeon.
Among 96 children with acute scrotum, 68 (70.8%) patients had testicular torsion. In the testicular torsion group, the mean (SD) TWIST score was 5.7 (1.2) and in no torsion group, it was 1.46 (0.67). In the testicular torsion group, the number of patients with low, intermediate, and high risk was 0, 13, and 55, respectively and in without testicular torsion these were 21, 7, and 0, respectively.
TWIST score has high predictive value for testicular torsion, and can be used for clinical diagnosis of testicular torsion.
验证用于评估急性阴囊患儿的睾丸缺血与疑似扭转检查（TWIST）评分。
这项前瞻性研究计算了入住小儿外科病房的急性阴囊患者的TWIST评分。评分系统包括睾丸肿胀（2分）、睾丸坚硬（2分）、提睾反射消失（1分）、恶心/呕吐（1分）及睾丸上提（1分）。所有患者均由小儿外科医生进行检查。
在96例急性阴囊患儿中，68例（70.8%）患有睾丸扭转。睾丸扭转组的平均（标准差）TWIST评分为5.7（1.2），无扭转组为1.46（0.67）。睾丸扭转组中低、中、高风险患者的数量分别为0、13和55例，无睾丸扭转组分别为21、7和0例。
TWIST评分对睾丸扭转具有较高的预测价值，可用于睾丸扭转的临床诊断。
