Analysis of Clinical Risk Factors in Pediatric Testicular Torsion
Objective:To investigate the clinical risk factors for pediatric testicular torsion(TT).Methods:54 children with TT diagnosed in the hospital from July 2015 to October 2019 were selected for the study,and were divided into viable and non-via-ble groups according to the severity of torsion.General clinical data and ultrasound characteristics of the children were collected:age,duration,degree of torsion,white blood cell count(WBC),season,temperature on the day of onset,echogenicity,blood flow sig-nal,and resistance index(RI).Risk factors for pediatric TT were screened using univariate analysis,and logistic regression predicted independent risk factors for the development of TT in pediatric patients.Results:Univariate analysis showed that duration,angle of torsion,RI,WBC,and temperature on the day of onset were risk factors for the development of TT in pediatric patients.Logistic regression predicted that duration,angle of torsion,RI,and temperature on the day of onset were independent risk factors for pediatric testicular torsion,with duration being more significant in determining pediatric TT.Temperature on the day of onset was an important external factor.Conclusion:In cold winters or when the temperature plummets,it is important to add close-fitting clothing in a timely manner to keep warm.Raising awareness and early detection and treatment are the keys to preventing pediatric TT and improving testicular survival rates.