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精索阻滞与手法复位:精索扭转的主要治疗方法。

Spermatic cord block and manual reduction: primary treatment for spermatic cord torsion.

作者信息

Kiesling V J, Schroeder D E, Pauljev P, Hull J

出版信息

J Urol. 1984 Nov;132(5):921-3. doi: 10.1016/s0022-5347(17)49947-2.

DOI:10.1016/s0022-5347(17)49947-2
PMID:6492282
Abstract

A total of 16 consecutive cases of acute torsion of the spermatic cord less than 24 hours in duration are presented. All patients were diagnosed and treated initially by spermatic cord blockade and attempted manual detorsion. Of the 16 patients 15 underwent successful detorsion under local anesthesia. All patients underwent subsequent bilateral orchiopexy. Testicular salvage was 93 per cent in those patients who underwent successful detorsion by manipulation.

摘要

本文报告了16例连续的精索急性扭转病例,病程均小于24小时。所有患者最初均通过精索阻滞诊断并尝试手法复位治疗。16例患者中有15例在局部麻醉下成功复位。所有患者随后均接受了双侧睾丸固定术。手法复位成功的患者中,睾丸挽救率为93%。

相似文献

1
Spermatic cord block and manual reduction: primary treatment for spermatic cord torsion.精索阻滞与手法复位:精索扭转的主要治疗方法。
J Urol. 1984 Nov;132(5):921-3. doi: 10.1016/s0022-5347(17)49947-2.
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Improving Organ Salvage in Testicular Torsion: Comparative Study of Patients Undergoing vs Not Undergoing Preoperative Manual Detorsion.改善睾丸扭转中的器官挽救:接受与未接受术前手法复位患者的对比研究
J Urol. 2017 Mar;197(3 Pt 1):811-817. doi: 10.1016/j.juro.2016.09.087. Epub 2016 Sep 30.
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High testicular salvage rate in torsion of the spermatic cord.精索扭转时较高的睾丸挽救率。
J Urol. 1982 Jul;128(1):66-8. doi: 10.1016/s0022-5347(17)52758-5.
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Preoperative manual detorsion of the spermatic cord with Doppler ultrasound monitoring in patients with intravaginal acute testicular torsion.经阴道内急性睾丸扭转患者术前在多普勒超声监测下手动扭转精索
Pediatr Radiol. 2000 Jan;30(1):41-4. doi: 10.1007/s002470050012.
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Preoperative manual detorsion of the torsed spermatic cord.
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Manual detorsion in testicular torsion: 5 years of experience at a single center.手法复位治疗睾丸扭转:单中心 5 年经验。
J Pediatr Surg. 2020 Dec;55(12):2728-2731. doi: 10.1016/j.jpedsurg.2020.02.026. Epub 2020 Feb 24.
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Manual derotation of the twisted spermatic cord.扭转精索的手法复位。
BJU Int. 1999 Apr;83(6):672-4. doi: 10.1046/j.1464-410x.1999.00003.x.
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Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion.床旁超声在诊断和手法复位睾丸扭转中的应用。
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[Value of spermatic cord sonography in the early diagnosis and treatment of testicular torsion].精索超声检查在睾丸扭转早期诊断与治疗中的价值
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[Management and investigation of testicular torsion].[睾丸扭转的管理与调查]
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引用本文的文献

1
Testicular torsion in adults: Demographics and 30-day outcomes after orchiopexy or orchiectomy.成人睾丸扭转:睾丸固定术或睾丸切除术的人口统计学特征及30天预后
Curr Urol. 2021 Dec;15(4):219-224. doi: 10.1097/CU9.0000000000000032. Epub 2021 Jul 7.
2
Should manual detorsion be a routine part of treatment in testicular torsion?手法复位应成为睾丸扭转治疗的常规部分吗?
BMC Urol. 2017 Sep 15;17(1):84. doi: 10.1186/s12894-017-0276-5.
3
Spermatic Cord Anesthesia Block: An Old Technique Re-imaged.精索麻醉阻滞:一项被重新审视的古老技术。
West J Emerg Med. 2016 Nov;17(6):811-813. doi: 10.5811/westjem.2016.8.31017. Epub 2016 Sep 13.
4
Manual Testicular Detorsion under Propofol Sedation.丙泊酚镇静下手法复位睾丸扭转
Case Rep Med. 2009;2009:529346. doi: 10.1155/2009/529346. Epub 2009 Oct 8.