Testis torsiyonu: 7 yıllık klinik deneyimimiz
Amaç: Biz bu çalışmada kliniğimizde testis torsiyonu ön tanısıyla opere edilmiş olan hastalarımızın sonuçlarınıretrospektif olarak değerlendirdik. Yöntem ve Gereçler: Ocak 2008 ile Şubat 2015 yılları arasında testis torsiyonu ön tanısıyla opere edilen toplam53 hasta retrospektif olarak incelendi. Hastalar torsiyon süresine göre 2 gruba ayrıldı. Torsiyon süresi 12 saatten azolan hastalar grup 1, 12 saatten fazla olan hastalar ise grup 2 olarak adlandırıldı. Grup 1; 35 hastadan oluşurken, grup2 de 18 hasta mevcuttu. Gruplar demografik verilere, orşiektomi oranlarına ve postoperatif doppler ultrasonografisonuçlarına göre karşılaştırıldı. Bulgular: Grup 1 ve grup 2nin yaş ortalamaları sırasıyla 24,4±2,0 yıl ve 20,2±2,2 yıl idi ve her iki grup arasındaanlamlı bir fark yoktu (p=0.197). Grup 1 de 5 (%14) hastaya, grup 2de ise 8 (%44) hastaya orşiektomi yapıldı,orşiektomi oranları grup 2 de anlamlı derecede fazlaydı (p=0.022). Medikal kayıtlardan 53 hastanın 40 (grup 1=30,grup 2=10) tanesinde postoperatif 1. ay kontrol skrotal doppler ultrasonografisine ulaşılabildi. Kontrol skrotal dopplerultrasonografi sonuçlarına göre grup 1de sadece 1(%3,4) hastada kanlanma azalması mevcutken grup 2de 9 (%90)hastada kanlanma azalması mevcuttu (p
Testicular torsion: 7 years of clinical experience
Aim:We retrospectively reviewed the patients who were operated in our clinic with the diagnosis of testicular torsion. Material and Methods: Between January 2008 and February 2015 totally 53 patients were analyzed retrospectively.Patients were divided into two groups according to torsion times. Group 1 was defined as patients with the torsiontime less than 12 hours and group 2 was defined as patients with the torsion time higher than 12 hours. Group 1 wasconsisted of 35 patients and group 2 was consisted of 18 patients. Two groups were compared with orchiectomy ratesand the decreasing of blood supply rates in first month control scrotal ultrasonography. Results: The mean age was 24,4±2,0 years in group 1 and 20,2±2,2 years in group 2; there were no significantdifferences between the two groups (p=0.197). Orchiectomy was performed to 5 (14%) patients in group 1 and 8(44%) patients in group 2. Orchiectomy rates were significantly higher in group 2 (p=0.022).The data of first monthcontrol scrotal doppler ultrasonography was available in 40 patients (group 1=30, group 2=10). The decreasing ofblood supply was found 1 (3,4%) patient in group 1 and 9 (90%) patients in group 2 (p
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