Department of Paediatric Surgery and Urology, Great North Children's Hospital, Newcastle upon Tyne, UK.
Department of Paediatric Surgery and Urology, Great North Children's Hospital, Newcastle upon Tyne, UK.
J Pediatr Urol. 2023 Aug;19(4):474-476. doi: 10.1016/j.jpurol.2023.03.039. Epub 2023 Apr 5.
A survey of 200 emergency scrotal explorations done over four paediatric surgical centres in the UK revealed that the incidence of finding testicular torsion (TT) was 24% and the preoperative utilisation of Doppler ultrasound (DUS) was 10% [1]. We changed our practice to include better preoperative utilisation of a clinical risk score (TWIST) and DUS. This led to a significant increase in the incidence of finding TT from 18% to 53%. Obtaining a DUS did not lead to an increase in our orchidectomy rate. Adopting this change is possible in an NHS setting and it has significant clinical and economic benefits.
对英国四个儿科外科中心进行的 200 例急症阴囊探查调查显示，睾丸扭转（TT）的发生率为 24%，术前多普勒超声（DUS）的使用率为 10%[1]。我们改变了做法，包括更好地利用临床风险评分（TWIST）和 DUS 进行术前评估。这使得 TT 的发现率从 18%显著增加到 53%。进行 DUS 检查并没有导致我们的睾丸切除术率增加。在 NHS 环境中采用这种改变是可行的，并且具有显著的临床和经济效益。
