Scott J H, Harty J I, Howerton L W
J Urol. 1983 Mar;129(3):558-60. doi: 10.1016/s0022-5347(17)52236-3.
From July 1976 through June 1981, 51 children with acute scrotal pain and swelling underwent surgical exploration. Testicular torsion (27 cases) and torsion of an appendage (18 cases) were the most common diagnoses. In the group with testicular torsion 5 testes were considered unsalvageable and these were removed. The remaining 22 testes, including those of questionable viability, were left in place. The early salvage rate of 81 per cent decreased to 50 per cent due to testicular atrophy found in the late followup period. The attempt to salvage all testes except those with obvious necrosis resulted in minimal morbidity. This approach is discussed in view of recent reports of long-term damage to the contralateral testis when an ischemic testis is not removed initially.
1976年7月至1981年6月期间，51例急性阴囊疼痛和肿胀的患儿接受了手术探查。睾丸扭转（27例）和附件扭转（18例）是最常见的诊断。在睾丸扭转组中，5个睾丸被认为无法挽救而被切除。其余22个睾丸，包括那些存活存疑的睾丸，被保留在原位。早期挽救率为81%，但在后期随访中发现睾丸萎缩，挽救率降至50%。除明显坏死的睾丸外，尝试挽救所有睾丸导致的发病率最低。鉴于最近有报道称，缺血性睾丸最初未切除时，对侧睾丸会受到长期损害，对这种方法进行了讨论。
