本文關(guān)鍵詞：彩色多普勒引導(dǎo)下手法復(fù)位治療睪丸扭轉(zhuǎn)的體會(huì)　出處：《中國(guó)醫(yī)藥導(dǎo)報(bào)》2016年33期 　論文類型：期刊論文

  更多相關(guān)文章： 超聲檢查 睪丸扭轉(zhuǎn) 手法復(fù)位

【摘要】：目的探討在彩色多普勒超聲引導(dǎo)下手法復(fù)位治療睪丸扭轉(zhuǎn)的可行性。方法選取2012年1月~2016年6月入住首都醫(yī)科大學(xué)附屬北京兒童醫(yī)院急癥外科的睪丸扭轉(zhuǎn)患兒101例,在彩色多普勒超聲檢測(cè)和引導(dǎo)下對(duì)其中76例患者進(jìn)行手法復(fù)位,觀察手法復(fù)位成功率。結(jié)果 76例(左側(cè)扭轉(zhuǎn)48例,右側(cè)扭轉(zhuǎn)28例)患兒中經(jīng)手法復(fù)位獲得成功病例63例(左側(cè)成功41例,右側(cè)成功22例),總成功率為82.89%。9例復(fù)位不全,4例失敗。結(jié)論站立位非麻醉狀態(tài)下超聲引導(dǎo)手法復(fù)位有利于提高睪丸扭轉(zhuǎn)(尤其是睪丸不全扭轉(zhuǎn))手法復(fù)位的成功率和可操作性。急診手術(shù)前及時(shí)行手法復(fù)位有助于提高扭轉(zhuǎn)睪丸挽救率。此技術(shù)在基層醫(yī)院的推廣應(yīng)用有望降低睪丸扭轉(zhuǎn)造成的睪丸切除率。
[Abstract]:Objective to explore the feasibility of manipulative reduction under the guidance of color Doppler ultrasound in the treatment of testicular torsion. Methods a total of 101 children with testicular torsion admitted to Beijing Children's Hospital in January 2012 ~2016 in June January 2012 were selected. Under the guidance of color Doppler ultrasonography, 76 patients were manipulative reduction to observe the success rate of manual reduction. Results in 76 cases (48 cases of left lateral torsion, 28 cases of right torsion), 63 cases were successfully treated by manipulative reduction (41 cases were successful on the left side, 22 cases were successful on the right side), and the total success rate was 82.89%. There were 9 cases of incomplete reduction and 4 cases of failure. Conclusion ultrasound guided manual reduction under standing anesthesia is conducive to improving the success rate and maneuverability of testicular torsion, especially testicular torsion. The timely manual reduction in emergency operation can help to improve the rate of torsion of testicle. The application of this technique in grass-roots hospitals is expected to reduce testicular resection rate caused by testicular torsion.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京兒童醫(yī)院急癥外科;和睦家醫(yī)院小兒外科;首都醫(yī)科大學(xué)附屬北京兒童醫(yī)院超聲影像科;
【分類號(hào)】：R445.1;R726.9
【正文快照】： 睪丸扭轉(zhuǎn)是臨床上常見的小兒外科陰囊急癥。臨床表現(xiàn)為患側(cè)睪丸疼痛、腫脹及觸痛并進(jìn)行性加重,可有同側(cè)下腹或腹股溝區(qū)及大腿的牽涉痛。睪丸完全缺血超過6 h、其壞死概率極高。因此,如不能在6~8 h內(nèi)手術(shù)復(fù)位就會(huì)造成睪丸壞死并睪丸切除,而睪丸切除對(duì)患兒的生理及心理發(fā)育、生

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