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Из-за этого пережимаются кровеносные сосуды, развивается отёк и ишемия (снижение кровотока) [2](https://unionclinic.ru/perekrut-yaichka/). \n\n**Опасность**: с нарушением кровотока в клетки не поступает кислород и питательные вещества, из-за чего уже через 6–24 часа развивается некроз — гибель тканей [2](https://unionclinic.ru/perekrut-yaichka/). Это чревато полной потерей органа и бесплодием [2](https://unionclinic.ru/perekrut-yaichka/).\n\n## Причины\nОсновная причина — **анатомическая подвижность яичка внутри мошонки** (врождённая аномалия) [2](https://unionclinic.ru/perekrut-yaichka/). К другим причинам также относятся: \n* нарушение фиксации тестикул к дну мошонки — они свободно двигаются и легко поворачиваются самопроизвольно [2](https://unionclinic.ru/perekrut-yaichka/); \n* аномально удлинённый семенной канатик — чем длиннее сосудисто-нервный пучок, тем более он подвижный и выше риск его перекручивания [2](https://unionclinic.ru/perekrut-yaichka/); \n* горизонтальное положение — в норме тестикулы располагаются вертикально, поэтому по горизонтальной оси скручивание происходит легче [2](https://unionclinic.ru/perekrut-yaichka/); \n* крипторхизм — если яичко ещё не опустилось, оно физиологически не зафиксировано, что повышает его подвижность и риск заворота [2](https://unionclinic.ru/perekrut-yaichka/).\n\n## Симптомы\n**Главный симптом** — внезапная острая боль в области мошонки, которая усиливается при прикосновении к этой области [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/). \n\n**Дополнительные симптомы**: \n* отёк мошонки из-за нарушения нормального кровотока, её ткани становятся более твёрдыми и увеличиваются в размере [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/); \n* краснота (при длительном течении патологии с развитием воспаления) или бледность (при острой форме) кожи мошонки [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/); \n* тошнота и рвота — возникают в качестве ответной реакции на сильную боль [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/); \n* повышенная чувствительность мошонки или яичка к прикосновениям [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/).\n\n## Диагностика\n**При подозрении на перекрут яичка** проводят: \n* **Внешний осмотр мошонки и яичка** — оценивают размеры, цвет, отёк и чувствительность [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/). \n* **Ультразвуковое исследование** — визуализирует структуру яичка и оценивает кровоток в нём, а также обнаруживает возможные повреждения или изменения в тканях [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/). \n* **КТ или МРТ** — требуются в некоторых случаях для более детального изучения структуры мошонки и яичка, особенно если имеются неясности после других методов диагностики [10](https://klinikabudzdorov.ru/diseases/perekrut-yaichka/).\n\n## Лечение\n**Перекрут яичка — экстренное состояние, требующее немедленного вмешательства** [2](https://unionclinic.ru/perekrut-yaichka/). Основная цель лечения — как можно быстрее восстановить кровоснабжение и сохранить жизнеспособность тканей [2](https://unionclinic.ru/perekrut-yaichka/). \n\n**Лечение может быть**: \n* **Консервативным** — в редких случаях, если пациент обратился практически сразу с момента появления жалоб (в течение первых 2–4 часов), врач может провести ручную деторсию — аккуратный разворот семенного канатика в обратную сторону [2](https://unionclinic.ru/perekrut-yaichka/). \n* **Хирургическим** — почти всегда назначается операция [2](https://unionclinic.ru/perekrut-yaichka/). Доступ определяется характером перекрута: при внутривлагалищной форме операция выполняется через мошонку, при вневлагалищной — через пах [1](https://www.sm-eko.ru/diseases/perekrut-yaichka/). \n\n**Помощь должна быть оказана в течение первых 6 часов** от начала симптомов — только в этом случае удаётся спасти орган [2](https://unionclinic.ru/perekrut-yaichka/).","linksData":[{"sourceId":1,"url":"https://www.sm-eko.ru/diseases/perekrut-yaichka/","shownUrl":"https://www.sm-eko.ru/diseases/perekrut-yaichka/","title":"Перекрут яичка: что это? 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