高频彩色多普勒超声诊断附睾睾丸炎的临床价值  

Clinical value of high frequency color Doppler ultrasound in the diagnosis of epididymal orchitis

作　　者：黄灿斌 曾文敬 许碧清 HUANG Can-bin;ZENG Wen-jing;XU Bi-qing(Department of Ultrasound,Guangzhou Panyu Central Hospital,Guangdong Province,Guangzhou511400,China;Department of Pediatrics,Guangzhou Panyu Central Hospital,Guangdong Province,Guangzhou511400,China)

机构地区：[1]广州市番禺区中心医院超声科,广东广州511400 [2]广州市番禺区中心医院儿科,广东广州511400

出　　处：《中国当代医药》2021年第10期163-166,F0004,共5页China Modern Medicine

摘　　要：目的探讨高频彩色多普勒超声在附睾睾丸炎诊断中的临床应用价值。方法选取2018年8月~2020年7月广州市番禺区中心医院收治的337例阴囊病变患者作为研究对象,对所有患者分别实施常规二维超声检查和高频彩色多普勒超声检查,比较两种方式对不同疾病的检出率和诊断价值,分析不同疾病超声声像图表现。结果临床实验室、临床诊断显示,睾丸炎为12例,附睾炎为246例,睾丸炎合并附睾炎为79例。高频彩色多普勒超声对睾丸炎的诊断敏感性为98.06%,特异性为94.94%,准确性为97.33%,漏诊率为1.94%,误诊率为5.06%;常规二维超声对睾丸炎的诊断敏感性、特异性、准确性、漏诊率和误诊率分别为90.70%、83.54%、89.02%、9.30%和16.46%。高频彩色多普勒超声对附睾睾丸炎的诊断敏感性、特异性和准确性高于常规二维超声,漏诊率和误诊率低于常规二维超声,差异有统计学意义(P<0.05)。睾丸炎、附睾炎和睾丸炎合并附睾炎患者超声声像图表现各不相同。结论高频彩色多普勒超声可准确判定睾丸炎、附睾炎和睾丸炎合并附睾炎,可尽早确诊疾病,为后续治疗工作的开展提供科学规范的参考依据。Objective To explore the clinical application value of high frequency color Doppler ultrasound in the diagnosis of epididymal orchitis.Methods A total of 337 patients with scrotal lesions admitted to Guangzhou Panyu Central Hospital from August 2018 to July 2020 were selected as research objects.Conventional two-dimensional ultrasound and high-frequency color Doppler ultrasound were performed respectively for all patients.The detection rate and diagnostic value of the two methods for different diseases were compared,and the ultrasonic image manifestations of different diseases were analyzed.Results Clinical laboratory and clinical diagnosis showed that there were 12 cases of orchitis,246 cases of epididymitis and 79 cases of orchitis with epididymitis.The sensitivity,specificity,accuracy,underdiagnosis rate and misdiagnosis rate of high frequency color Doppler ultrasound in the diagnosis of orchitis were 98.06%,94.94%,97.33%,1.94%and 5.06%,respectively.The sensitivity,specificity,accuracy,underdiagnosis rate and misdiagnosis rate of conventional two-dimensional ultrasound for orchitis were 90.70%,83.54%,89.02%,9.30%and 16.46%,respectively.The sensitivity,specificity and accuracy of high frequency color Doppler ultrasound were higher than those of conventional two-dimensional ultrasound,the underdiagnosis rate and misdiagnosis rate of high frequency color Doppler ultrasound were lower than those of conventional two-dimensional ultrasound,with statistical differences(P<0.05)The ultrasonographic manifestations of orchitis,epididymitis and orchitis with epididymitis were different.Conclusion High frequency color Doppler ultrasound can accurately determine orchitis,epididymitis and orchitis combined with epididymitis,can diagnose the disease as soon as possible,and provide a scientific and standardized reference for subsequent treatment.

关 键 词：高频彩色多普勒超声 睾丸炎 附睾炎 睾丸炎合并附睾炎 诊断价值 

分 类 号：RR445