Analysis on key influencing factors of testicular torsion
Objective To summarize and analyze the diagnosis and treatment outcomes of patients with testicular torsion with various clinical manifestations,and to analyze the key factors of testicular rescue and the causes of misdiagnosis.Methods The clinical data of 42 patients with testicular torsion admitted were retrospectively analyzed.All patients were treated with ultrasound examination and surgical exploration,and the patients were divided into two groups according to treatment outcome:testicular resection group and testicular retention group.Clinical symptoms,the time from onset to operation,ultrasound results,torsion degree,torsion type,parents' occupation and parents' cognition of the disease were analyzed.Results There were no significant differences in age of onset,clinical symptoms,ultrasound diagnosis,torsion degree and torsion type between the two groups(P>0.05).The time from onset to operation in the retention group(5.93±2.43)h was significantly shorter than that in the excision group(14.00±5.03)h(P<0.05).The parents in the retention group had significantly higher awareness of testicular torsion disease than those in the excision group(P<0.05).Conclusion The time of consultation is the key factor in saving the torsion testis,the type of occupation of the parents and the lack of knowledge about the disease of testicular torsion is one of the main reasons for misdiagnosis,good knowledge of the parents can motivate the child to seek med-ical attention in time to minimize the incidence of misdiagnosis.
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