Jones D J, Macreadie D, Morgans B T
Br J Surg. 1986 Aug;73(8):624-6. doi: 10.1002/bjs.1800730813.
All cases of testicular torsion occurring in the Armed Services between 1972 and 1983 have been reviewed. All cases were post-pubertal. The incidence in older age groups is higher than previously reported. No cases were seen in undescended testes. No seasonal variation in presentation was detected. Recurrent scrotal pain before acute presentation occurred in 29 per cent of cases. The testicular salvage rate was 75 per cent. The salvage rate in patients with pain for greater than 24 h was 46 per cent. Patients with a history of intermittent scrotal pain should be explored as a matter of urgency. Operation should still be considered in patients who have had pain for greater than 24 h.
对1972年至1983年间在军队中发生的所有睾丸扭转病例进行了回顾。所有病例均为青春期后发病。老年组的发病率高于先前报道。未降睾丸未见病例。未发现发病有季节性变化。29%的病例在急性发病前有复发性阴囊疼痛。睾丸挽救率为75%。疼痛超过24小时的患者挽救率为46%。有间歇性阴囊疼痛病史的患者应作为紧急情况进行探查。对于疼痛超过24小时的患者仍应考虑手术。
