儿童睾丸扭转
Testicular torsion in children.
作者信息
Shunmugam Maheshver, Goldman Ran D
出版信息
Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.
Abstract
QUESTION
As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?
ANSWER
The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consultation is not needed. If the TWIST score is 1 or higher or if the clinical presentation suggests torsion, manual detorsion should be attempted and the patient should be urgently sent to the nearest emergency department.
摘要
问题
作为一名为大量儿科患者提供护理的家庭医生，我评估了许多患有睾丸疼痛的青少年。鉴于睾丸扭转患儿延迟治疗的预后严重性，其评估和管理的最佳做法是什么？
答案
已制定并验证了睾丸缺血和疑似扭转检查（TWIST）评分，以识别有睾丸扭转风险的儿童。如果TWIST评分为0且在门诊环境中临床怀疑度较低，则无需紧急转诊至泌尿外科进行会诊。如果TWIST评分为1或更高，或者临床表现提示扭转，则应尝试手法复位，并将患者紧急送往最近的急诊科。
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