睾丸扭转

最后审阅: 2 十一月 2022
最后更新: 07 十二月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 睾丸痛
  • 间歇性 疼痛
  • 阴囊升高时无疼痛缓解
  • 阴囊肿胀或水肿
  • 阴囊红斑
  • 反应性鞘膜积液
  • 高位睾丸
  • 水平位
  • 无提睾反射
更多 关键诊断因素

其他诊断因素

  • 恶心和呕吐
  • 腹痛
  • 发热
其他诊断因素

危险因素

  • 25岁以下的患者中
  • 新生儿
  • 钟锤样畸形
  • 创伤/运动
  • 间歇性睾丸疼痛
  • 隐睾
  • 寒冷天气
更多 危险因素

诊断性检查

首要检查

  • 灰阶超声
  • 能量多普勒超声
  • 彩色多普照
更多 首要检查

需考虑的检查

  • 脉冲多普勒
  • 尿液分析
  • 闪烁显像
更多 需考虑的检查

治疗流程

急症处理

非新生儿

新生儿

撰稿人

作者

Hemanshoo Thakkar, MD

Consultant Paediatric Surgeon

Evelina London Children’s Hospital

Guy's and St Thomas' NHS Foundation Trust

London

UK

利益声明

HK declares that he has no conflicting interests.

Richard Lee, MD

Associate Professor of Urology

Department of Urology

Weill Cornell Medical College

New York City

NY

利益声明

RL has received funding from the Bill and Melinda Gates Foundation.

Caroline Kang, MD, PhD

Fellow in Male Reproductive Medicine and Surgery

Department of Urology

Weill Cornell Medical College

New York City

NY

利益声明

CK declares that she has no conflicting interests.

Jessica Marinaro, MD

Fellow in Male Reproductive Medicine and Surgery

Department of Urology

Weill Cornell Medical College

New York City

NY

利益声明

JM declares that she has no conflicting interests.

鸣谢

Dr Hemanshoo Thakkar, Dr Richard Lee, Dr Caroline Kang, and Dr Jessica Marinaro would like to gratefully acknowledge Dr George Kaplan, Dr Deborah Dean and Dr Paul Hamilton, the previous contributors to this topic.

利益声明

GK, DD and PH declared that they had no competing interests.

同行评议者

Eugene Minevich, MD, FAAP, FACS

Associate Professor

Division of Pediatric Urology

Cincinnati Children's Hospital Medical Center

Cincinnati

OH

利益声明

EM declares that he has no competing interests.

Simon E. Kenny, BSc, ChB (Hons), MD, FRCS (Paed), FAAP

Consultant Pediatric Surgeon/Urologist

Alder Hey Children's NHS Foundation Trust

Liverpool

UK

利益声明

SEK declares that he has no competing interests.

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