二维和彩色多普勒超声诊断睾丸损伤  

Two-dimensional and color Doppler ultrasonographic diagnosis for injury of testis

作　　者：徐卫东[1] 刘牧[1] 耿兰溪[1] 栾智勇[1] 邓凯丽[1] 

机构地区：[1]解放军第九十七医院特诊科,徐州221004

出　　处：《中华超声影像学杂志》2001年第4期231-232,共2页Chinese Journal of Ultrasonography

摘　　要：目的　评价彩色多普勒超声 (CDU )对睾丸损伤的诊断价值及临床治疗的指导意义。方法　用CDU检测 2 6例 (2 7只 )受伤睾丸的形态学及血流动力学改变 ,根据声像图特征将受伤睾丸分为四型 :挫伤型、血肿型、破裂型、脱位型。结果　 2 6例睾丸损伤的超声分型 :挫伤型 4例 ,血肿型 7例 ,破裂型 15例 ,脱位型 1例。手术治疗 2 2例 ,超声分型与手术对照符合率为 95 .7%。结论　CDU检测简便易行 ,准确可靠 ,是睾丸损伤的首选检诊方法 ,睾丸损伤的超声分型与病理改变相接近 ,便于指导临床处理。Objective To evaluate the diagnostic value and the instructive importance to the clinic treatment of color Doppler ultrasonography (CDU) in the injury of testis.Methods The morpholical and homodynamic changes of 27 injuried testes ( 26 patients ) were observed with CDU. On the basis of the features of CDU appearances, the injuried testes were divided into 4 types (blunt, hematoma, rupture and dislocation types ).Results By the types of CDU, 4,7,15 and 1 of 27 injuried testes were respectively classified for blunt, hematoma, rupture and dislcoation types. 22 of the patients underwent surgery.The coincident rate between CDU and pathologic diagnoses of 23 injuried testes performed operation was 95.7%(22/23).Conclusions Typing diagnosis with CDU in injuried testes is a simple, easy, accurate and reliable method and should become a first choice method in diagnosing testicular injury. Moreover, because the ultrasonic type and the pathologic changes of injuried testes was coincident,this method may be contribute to the clinical treatment of injuried testes.

关 键 词：超声检查 睾丸 损伤 彩色多普勒 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]