多普勒能量图对急性睾丸扭转及睾丸附件扭转的应用研究  

Research of acute testicular torsion and testicular appendages torsion by doppler energy imaging

作　　者：刘莉[1] 杨秋实[1] 谢德轩[2] 

机构地区：[1]哈尔滨医科大学第一临床医学院超声科,黑龙江哈尔滨150001 [2]哈尔滨医科大学第一临床医学院CT室,黑龙江哈尔滨150001

出　　处：《中国现代医学杂志》2008年第11期1585-1587,1590,共4页China Journal of Modern Medicine

摘　　要：目的探讨彩色多普勒能量图(CDEI)在睾丸扭转和睾丸附件扭转诊断及鉴别中的应用价值。方法分析104例睾丸扭转和52例睾丸附件扭转彩色多普勒能量图声像图特点,总结两者鉴别诊断要点。结果睾丸扭转特异性表现为睾丸血供减少或消失以及睾丸上方无血供的高回声团块。睾丸附件扭转超声表现为睾丸与附睾头之间或睾丸旁不均质高回声结节及睾丸、附睾内血供轻度增多。结论彩色多普勒能量图在睾丸扭转和睾丸附件扭转诊断及鉴别诊断中具有重要诊断价值。[Objective] To investigate the diagnosic and differential diagnosic values of color Doppler energy imaging （CDE1） for testicular torsion and testicular appendage torsion. [Methods] The sonographic chara-cterization of 104 cases of testicular torsion and 52 cases of testicular appendage torsion were analyzed and concluded by CDEI reviewed. [Results] The specific sonographic signs of testicular torsion were the diminished or absent blood flow in the testicle as Well as hyperechoic mass with no blood flow above the testicle.The specific sonographic signs of testicular appendage torsion were the unequal hyperechoic node with no blood flow between or beside testicle and head of epididymis as well as the slightly increased blood flow in the testicle and epididymis. [Conclusions] CDEI has a great value in diagnosis and differential diagnosis of testicular torsion and testicular appendage torsion.

关 键 词：睾丸 睾丸附件 扭转 彩色多普勒能量图 鉴别 

分 类 号：R445.1[医药卫生—影像医学与核医学]