Risk factors analysis of testicular torsion patients with testicular resection as the outcome
10.3969/j.issn.1009-8291.2024.06.008
- VernacularTitle:睾丸扭转患者以睾丸切除为结局的危险因素分析
- Author:
Hongwei LIU
1
;
Gaozhen HUANG
1
;
Shihao LI
1
;
Zhijian XU
1
Author Information
1. Department of Urology, Laboratory of Urology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
- Publication Type:Journal Article
- Keywords:
testicular torsion;
coagulation;
inflammatory index;
orchiectomy;
testicular detorsion and orchidopexy;
angle of torsion;
testicular workup for ischemia and suspected torsion score
- From:
Journal of Modern Urology
2024;29(6):510-513
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the risk factors that affect the outcome of testicular torsion in patients with testicular resection, to provide ideas for clinical management. 【Methods】 The clinical data of 117 patients with testicular torsion treated in our hospital during Jan.1, 2012 and Mar.1, 2023 were retrospectively analyzed, 43 of whom underwent testicular detorsion and orchidopexy, and 74 underwent orchiectomy.The correlation between preoperative inflammatory and coagulation-related indicators, testicular torsion angle, TWIST score and orchiectomy was analyzed with univariate analysis.The independent risk factors for testicular torsion patients with testicular resection as the outcome were analyzed with binary logistic regression.The predictive value of each factor for orchiectomy was assessed with receiver operating characteristic (ROC) curve. 【Results】 Binary logistic regression analysis indicated that long duration of onset (OR=1.841, P=0.036), large torsion angle (OR=1.005, P=0.016), high TWIST score (OR=2.225, P=0.003) and elevated FIB level (OR=2.489, P=0.049) were independent risk factors for testicular torsion patients with testicular resection as the outcome.ROC curve analysis showed that the best cut-off value of the above 4 factors to predict orchiectomy were 1.75 days, 225°, 3.5 and 3.155 g/L; the area under the ROC curve (AUC) were 0.893, 0.718, 0.812 and 0.770, respectively. 【Conclusion】 The duration of onset, torsion angle, TWIST score, and FIB level are independent risk factors for testicular torsion patients with testicular resection as the outcome, and these indicators have certain predictive value.
