Wyatt J K, Mundy H B
Can Med Assoc J. 1972 Nov 18;107(10):971-3.
Early diagnosis of testicular torsion is absolutely mandatory for salvage of a viable organ. The classical clinical presentation is a boy in the second decade with sudden onset of testicular pain accompanied by testicular tenderness and swelling as well as scrotal erythema and edema. The management is emergency exploration of the testicle with either orchiopexy or orchidectomy, depending upon the viability of the testis. In this series of 20 cases 90% had exploration with a salvage rate of 72%. Torsion of the testicle is in most cases due to a congenital abnormality; therefore contralateral orchiopexy is always done at the time of the exploration of the scrotum. The critical time interval from onset to exploration of the torsion is approximately 10 hours. In addition to the acute clinical entity, chronic torsion of the testis should be considered in all patients with unexplained orchalgia.
睾丸扭转的早期诊断对于挽救可存活的器官绝对必要。典型的临床表现是青春期男孩突发睾丸疼痛，伴有睾丸压痛、肿胀以及阴囊红斑和水肿。治疗方法是根据睾丸的存活情况，对睾丸进行急诊探查，并行睾丸固定术或睾丸切除术。在这组20例病例中，90%进行了探查，挽救率为72%。睾丸扭转在大多数情况下是由先天性异常引起的；因此，在阴囊探查时总是同时进行对侧睾丸固定术。从扭转发作到探查的关键时间间隔约为10小时。除了急性临床病症外，所有不明原因睾丸疼痛的患者都应考虑慢性睾丸扭转。
