Cattolica E V, Karol J B, Rankin K N, Klein R S
J Urol. 1982 Jul;128(1):66-8. doi: 10.1016/s0022-5347(17)52758-5.
Acute, nontraumatic scrotal emergency operations were done on 104 patients. The testes were saved in 79 per cent of 67 patients with torsion of the spermatic cord. When the patients who presented late are excluded, aggressive treatment allowed a 93 per cent testicular salvage rate. Spontaneous or manipulative detorsion preoperatively resulted in a 100 per cent testicular salvage rate. If the patient seeks medical advice early a high testicular salvage rate can be obtained by proper diagnosis and prompt, aggressive detorsion either by manipulation when examined initially or at operation. These maneuvers are combined with bilateral orchiopexy to ensure permanent cure.
对104例急性非创伤性阴囊急症患者进行了手术。在67例精索扭转患者中，79%的患者睾丸得以保留。排除就诊较晚的患者后，积极治疗使睾丸保留率达到93%。术前自发或手法复位扭转可使睾丸保留率达到100%。如果患者尽早寻求医疗建议，通过正确诊断以及在初诊检查时或手术中及时、积极地进行手法复位扭转，可获得较高的睾丸保留率。这些操作结合双侧睾丸固定术以确保根治。
