The diagonsis and treatment for children testicular torsion of 103 cases:a retrospevtive analysis.

Objective To improve the diagnosis and teatment of testicular torsion.Metholds One hundred and three clinical cases of testicular torsion(14 year old) from 1990 to 2006 were reviewed and analysed.Results The patients ranged in age from 2 days to 14 years(mean 4.7 years),64 left,34 right and 5bilateral testes involves.Hand replacement succeeded in 6 cases(disease time6h),surgical examination was carried out in 94,resection of the necrotic testis were performed in 69,orchidopexy were performed in 25(disease time6h in 19,12～24h in 3,24h in 1),And orchidopexy were performed in 25 of right testicular torsion whose left spermatic cords were obvious long.The patholongical reports were ischemic necrosis of testis and epididymis in 52.The follow up were performed in 38 for 1～5years,there were no relapse of relapse,and atrophy of testis were found in 4.Conclusion The key to improvement of the diagnosis and treatment of testicular torsion,which can be achieved by the combined use of case history,physical.signs and color ultasonography,suraical examination of the scrotum is the best option for testicular torsion.