PDF(Pubmed)
Abstract：
BACKGROUND: Testicular torsion is the most common acute scrotum worldwide and mainly occurs in children and adolescents. Studies have demonstrated that the duration of symptoms and torsion grade lead to different outcomes in children diagnosed with testicular torsion.
OBJECTIVE: To predict the possibility of testicular salvage (TS) in patients with testicular torsion in a tertiary center.
METHODS: We reviewed the charts of 75 pediatric patients with acute testicular torsion during a 12-year period from November 2011 to July 2023 at the Suzhou Hospital of Anhui Medical University. Univariate and multivariate logistic regression analyses were used to determine independent predictors of testicular torsion. The data included clinical findings, physical examinations, laboratory data, color Doppler ultrasound findings, operating results, age, presenting institution status, and follow-up results.
RESULTS: Our study included 75 patients. TS was possible in 57.3% of all patients; testicular torsion occurred mostly in winter, and teenagers aged 11-15 years old accounted for 60%. Univariate logistic regression analyses revealed that younger age (P = 0.09), body mass index (P = 0.004), torsion angle (P = 0.013), red blood cell count (P = 0.03), neutrophil-to-lymphocyte ratio (P = 0.009), and initial presenting institution (P < 0.001) were associated with orchiectomy. In multivariate analysis, only the initial presenting institution predicted TS (P < 0.05).
CONCLUSIONS: The initial presenting institution has a predictive value for predicting TS in patients with testicular torsion. Children with scrotal pain should be admitted to a tertiary hospital as soon as possible.
OBJECTIVE: To predict the possibility of testicular salvage (TS) in patients with testicular torsion in a tertiary center.
METHODS: We reviewed the charts of 75 pediatric patients with acute testicular torsion during a 12-year period from November 2011 to July 2023 at the Suzhou Hospital of Anhui Medical University. Univariate and multivariate logistic regression analyses were used to determine independent predictors of testicular torsion. The data included clinical findings, physical examinations, laboratory data, color Doppler ultrasound findings, operating results, age, presenting institution status, and follow-up results.
RESULTS: Our study included 75 patients. TS was possible in 57.3% of all patients; testicular torsion occurred mostly in winter, and teenagers aged 11-15 years old accounted for 60%. Univariate logistic regression analyses revealed that younger age (P = 0.09), body mass index (P = 0.004), torsion angle (P = 0.013), red blood cell count (P = 0.03), neutrophil-to-lymphocyte ratio (P = 0.009), and initial presenting institution (P < 0.001) were associated with orchiectomy. In multivariate analysis, only the initial presenting institution predicted TS (P < 0.05).
CONCLUSIONS: The initial presenting institution has a predictive value for predicting TS in patients with testicular torsion. Children with scrotal pain should be admitted to a tertiary hospital as soon as possible.
摘要：
背景：睾丸扭转是世界范围内最常见的急性阴囊，主要发生在儿童和青少年。研究表明，症状的持续时间和扭转等级导致诊断为睾丸扭转的儿童的不同结局。
目的：预测三级中心睾丸扭转患者睾丸挽救（TS）的可能性。
方法：我们回顾了2011年11月至2023年7月在安徽医科大学苏州医院12年间75例急性睾丸扭转患儿的临床资料。使用单变量和多变量逻辑回归分析来确定睾丸扭转的独立预测因子。数据包括临床发现，体检,实验室数据,彩色多普勒超声检查结果，运行结果，年龄,展示机构地位，和后续结果。
结果：我们的研究包括75例患者。所有患者中有57.3%可能发生TS；睾丸扭转主要发生在冬季，11-15岁的青少年占60%。单因素Logistic回归分析显示年龄较小(P=0.09)，体重指数（P=0.004），扭转角(P=0.013),红细胞计数（P=0.03），中性粒细胞与淋巴细胞比率（P=0.009），和最初出现的机构（P<0.001）与睾丸切除术有关。在多变量分析中，只有初始提示机构预测TS(P<0.05)。
结论：初始提示机构对睾丸扭转患者的TS具有预测价值。患有阴囊疼痛的儿童应尽快入院。
目的：预测三级中心睾丸扭转患者睾丸挽救（TS）的可能性。
方法：我们回顾了2011年11月至2023年7月在安徽医科大学苏州医院12年间75例急性睾丸扭转患儿的临床资料。使用单变量和多变量逻辑回归分析来确定睾丸扭转的独立预测因子。数据包括临床发现，体检,实验室数据,彩色多普勒超声检查结果，运行结果，年龄,展示机构地位，和后续结果。
结果：我们的研究包括75例患者。所有患者中有57.3%可能发生TS；睾丸扭转主要发生在冬季，11-15岁的青少年占60%。单因素Logistic回归分析显示年龄较小(P=0.09)，体重指数（P=0.004），扭转角(P=0.013),红细胞计数（P=0.03），中性粒细胞与淋巴细胞比率（P=0.009），和最初出现的机构（P<0.001）与睾丸切除术有关。在多变量分析中，只有初始提示机构预测TS(P<0.05)。
结论：初始提示机构对睾丸扭转患者的TS具有预测价值。患有阴囊疼痛的儿童应尽快入院。
