彩色多普勒超声对急性睾丸扭转、附睾炎与输尿管结石的鉴别诊断  

Color doppler Ultrasonography Acute testicular torsion ureteral calculi Integrated examination

作　　者：王少峰[1] 王艳萍[1] 

机构地区：[1]深圳市沙井人民医院功能科,广东深圳518104

出　　处：《现代保健（医学创新研究）》2007年第07Z期9-10,共2页

摘　　要：目的 探讨如何利用彩色多普勒超声鉴别诊断急性睾丸扭转、急性睾丸附睾炎与输尿管结石.方法 对107例临床无法区分为输尿管结石和急性睾丸附睾炎或睾丸扭转的患者进行超声多普勒检查,第一组仅根据B超申请单检查要求,单独检查泌尿系统或生殖系统,第二组不管超声申请单是否要求,所有病人常规扫查泌尿系统加生殖系统,两组检查结果与临床诊断最终结果相对.结果 第一组：14例为输尿管结石,11例诊断正确,符合率78%;3例急性睾丸附睾炎,2例诊断正确,符合率66%;2例为睾丸扭转,1例诊断正确,符合率50%.第二组：78例为输尿管结石,76例诊断正确,符合率97%;4例为睾丸扭转,4例诊断正确,符合率100%;6例为急性睾丸附睾炎,6例诊断正确,符合率100%.结论 彩色多普勒超声综合扫查泌尿系统及生殖系统能显著提高睾丸扭转、睾丸附睾炎和输尿管结石的诊断符合率.Objective To diagnose the difference of ureteral calculi from acute testicular torsion or acute epididymo - testitis by using col- or Doppler. Methods 107 patients that are undefined in clinic have detected by ultrasound, it divided two groups , group one only examine uri- nary system or genital system, group two examine both urinary system and genital system. Results According group one,the correct rate of diagnostic ultrasound in ureterolith is 78%, in acute testitis is 66%, in acute turned testis is 50%. According group two, the correct rate of diagnostic ultrasound in ureterolith is 97% ,in acute testitis is 100% ,in acute turned testis is 100%. Conclusion Integrated examination method can remarkable improve the diagnostic rate of color doppler uhrasonography.

关 键 词：彩色多普勒超声 输尿管结石 急性睾丸扭转 综合扫查 

分 类 号：R445.1[医药卫生—影像医学与核医学]