彩色多普勒超声在诊断阴囊急症中的应用  

Application of color Doppler ultrasound in the acute scrotum

作　　者：怀玉水[1] 尹正银[1] 孙医学[1] 

机构地区：[1]蚌埠医学院第一附属医院超声中心,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2012年第11期1345-1346,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨彩色多普勒超声(彩超)在诊断阴囊急症中的应用价值。方法:对72例彩超检查阴囊急症患者的结果进行回顾分析,与随访结果作对照。结果:确诊睾丸扭转23例,彩超正确诊断22例,声像图主要表现为睾丸位置上提、横位或斜位,形态失常,回声减低不均匀,血流信号消失。确诊睾丸附睾炎45例,彩超正确诊断44例,声像图主要表现为睾丸附睾的增大,局部回声减低,不均匀。睾丸外伤4例,彩超均正确诊断,声像图主要表现睾丸形态不完整,局部包膜回声中断,损伤区回声不均匀。结论:彩超能较可靠地诊断与鉴别阴囊急症,为临床诊断与治疗提供了重要信息。Objective:To explore the application of color Doppler ultrasound in the acute scrotum. Methods:The results of color Doppler ultrasound examination of 72 patients with acute scrotum were retrospectively analyzed,and compared with following-up results. Results:Of 23 cases with testicular torsion,22 cases were diagnosed by ultrasonography,which ultrasonography displayed mainly raising testicular location,transverse or oblique,abnormal morphology,uneven hypoechoic and blood flow signal loss.Of 45 cases with epididymitis,44 cases were diagnosed by ultrasonography,which ultrasonography displayed mainly the increasing testis and epididymis,reducting and uneven local echo.Four cases with testicular trauma were correctly diagnosed by ultrasonography,which ultrasonography displayed mainly no complete testicular morphology,partial envelope echo interrupt and uneven echo in injury area. Conclusions:Color Doppler ultrasound can reliably diagnose and differentially diagose the acute scrotum,which can provide the important application value for clinical diagnosis and treatment.

关 键 词：睾丸疾病 睾丸扭转 睾丸附睾炎 睾丸外伤 彩色多普勒 诊断 

分 类 号：R697.22[医药卫生—泌尿科学]