Diagnosis and treatment of neonatal testicular torsion.. Diagnosis and treatment of neonatal testicular torsion.[J].Journal of Clinical Pediatric Surgery,,17():943-949.
Diagnosis and treatment of neonatal testicular torsion.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 12
Page:
943-949
Column:
论著
Date of publication:
2018-12-18
- Keywords:
- ; Spermatic Cord Torsion; Diagnosis; Surgical Procedures; Operative; Neonate
- Document code:
- A
- Abstract:
- ObjectiveTo explore the diagnosis and treatment of neonatal testicular torsion (NTT).MethodsRetrospective review was conducted for the clinical data of 7 NTT cases from July 2014 to March 2017.ResultsAmong them,term delivery was natural birth (n=6) and cesarean section (n=1).The average age was 6.4(1-27) days.And the involved side was left (n=4) and right (n=3).There were varying degree of testicular swelling,tenderness and hard masses at the affected side.The time from onset to arrival to hospital ranged from 6h to 10d.In all cases,color and power Doppler revealed heterogeneous masses of scrotum and absent blood flow in testis.Surgical exploration revealed testicular ischemic infarction and postoperative histopathology hinted at necrosis of testicular tissue.All affected testes were removed.ConclusionThere is a high rate of neonatal testicular torsion and necrosis.When a diagnosis of testicular torsion cannot be ruled out by clinical symptoms,surgical exploration should be performed as soon as possible.Color Doppler flow imaging (CDFI) has high accuracy and specificity in the diagnosis and differential diagnosis of testicular torsion.
Last Update:
2018-12-19