PDF(Pubmed)
Abstract：
UNASSIGNED: To explore the factors affecting the success of testicular torsion manual reduction and the safety of subsequent conservative treatment after successful reduction.
UNASSIGNED: Clinical data of 66 patients with testicular torsion treated in our emergency department from February 2017 to February 2022 were retrospectively collected. Manual reduction without anesthesia was performed in 19 patients. Patients with successful manual reduction chose different subsequent treatments according to the wishes of themselves and their guardians, including continuing conservative treatment and surgical exploration. Relevant clinical data were collected and analyzed.
UNASSIGNED: Manual reduction was successful in 11 patients (11/19). Seven of them chose to continue conservative treatment, and four underwent surgical exploration immediately. Among the 7 patients who were treated conservatively, 3 underwent surgical treatment due to scrotal discomfort or testicular torsion at different stages, and the remaining 4 patients showed no recurrence of torsion during follow-up. Compared with other patients, patients with successful manual reduction had the shorter duration of pain (p < 0.05). The time from visiting our hospital to surgery in patients who attempted manual reduction was slightly shorter than those who underwent surgery directly (p > 0.05). The testes of these 11 patients were all successfully preserved.
UNASSIGNED: The short duration of pain may contribute to the success of manual reduction, and manual reduction did not increase the preparation time before surgery. Due to the unpredictable risk of recurrence, immediate surgical treatment is still recommended, or postponed elective surgical treatment should be offered in the next days or weeks.
UNASSIGNED: Clinical data of 66 patients with testicular torsion treated in our emergency department from February 2017 to February 2022 were retrospectively collected. Manual reduction without anesthesia was performed in 19 patients. Patients with successful manual reduction chose different subsequent treatments according to the wishes of themselves and their guardians, including continuing conservative treatment and surgical exploration. Relevant clinical data were collected and analyzed.
UNASSIGNED: Manual reduction was successful in 11 patients (11/19). Seven of them chose to continue conservative treatment, and four underwent surgical exploration immediately. Among the 7 patients who were treated conservatively, 3 underwent surgical treatment due to scrotal discomfort or testicular torsion at different stages, and the remaining 4 patients showed no recurrence of torsion during follow-up. Compared with other patients, patients with successful manual reduction had the shorter duration of pain (p < 0.05). The time from visiting our hospital to surgery in patients who attempted manual reduction was slightly shorter than those who underwent surgery directly (p > 0.05). The testes of these 11 patients were all successfully preserved.
UNASSIGNED: The short duration of pain may contribute to the success of manual reduction, and manual reduction did not increase the preparation time before surgery. Due to the unpredictable risk of recurrence, immediate surgical treatment is still recommended, or postponed elective surgical treatment should be offered in the next days or weeks.
摘要：
■探讨影响睾丸扭转手动复位成功的因素以及复位成功后后续保守治疗的安全性。
■回顾性收集2017年2月至2022年2月在急诊科治疗的66例睾丸扭转患者的临床资料。19例患者在无麻醉的情况下进行了手动复位。手动复位成功的患者根据自己和监护人的意愿选择不同的后续治疗方法，包括继续保守治疗和手术探查。收集相关临床资料并进行分析。
■11例患者（11/19）手动复位成功。其中7人选择继续保守治疗,四人立即接受了手术探查。在保守治疗的7例患者中，3因阴囊不适或睾丸扭转不同阶段接受手术治疗，其余4例患者随访期间未出现扭转复发。与其他患者相比,手动复位成功的患者疼痛持续时间较短(p<0.05).尝试手动复位的患者从就诊到手术的时间略短于直接手术的患者（p>0.05）。这11例患者的睾丸均成功保存。
■短时间的疼痛可能有助于手动复位的成功，手动复位并没有增加手术前的准备时间。由于不可预测的复发风险，仍建议立即手术治疗，或推迟的择期手术治疗应在接下来的几天或几周内提供。
■回顾性收集2017年2月至2022年2月在急诊科治疗的66例睾丸扭转患者的临床资料。19例患者在无麻醉的情况下进行了手动复位。手动复位成功的患者根据自己和监护人的意愿选择不同的后续治疗方法，包括继续保守治疗和手术探查。收集相关临床资料并进行分析。
■11例患者（11/19）手动复位成功。其中7人选择继续保守治疗,四人立即接受了手术探查。在保守治疗的7例患者中，3因阴囊不适或睾丸扭转不同阶段接受手术治疗，其余4例患者随访期间未出现扭转复发。与其他患者相比,手动复位成功的患者疼痛持续时间较短(p<0.05).尝试手动复位的患者从就诊到手术的时间略短于直接手术的患者（p>0.05）。这11例患者的睾丸均成功保存。
■短时间的疼痛可能有助于手动复位的成功，手动复位并没有增加手术前的准备时间。由于不可预测的复发风险，仍建议立即手术治疗，或推迟的择期手术治疗应在接下来的几天或几周内提供。
