剪切波弹性成像评估儿童睾丸附件扭转致睾丸-附睾炎治疗效果的临床价值  

Clinical value of shear wave elastography in evaluating the therapeutic effect of testicular epididymitis caused by testicular appendage torsion in children

作　　者：聂丽丽[1] 张帅 杨璐 樊艳辉[1] 赵真 王立娴[1] 贺新建[1] NIE Lili;ZHANG Shuai;YANG Lu;FAN Yanhui;ZHAO Zhen;WANG Lixian;HE Xinjian(Department of Ultrasound Diagnosis,Hebei Children’s Hospital,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院超声诊断科,石家庄市050031

出　　处：《临床超声医学杂志》2023年第11期895-899,共5页Journal of Clinical Ultrasound in Medicine

基　　金：河北省医学科学研究课题计划(20190854)。

摘　　要：目的探讨剪切波弹性成像(SWE)评估儿童睾丸附件扭转致睾丸-附睾炎不同治疗方法的治疗效果。方法收集90例睾丸附件扭转致睾丸-附睾炎患儿,根据治疗方式将其分为手术组40例和保守组50例,另选50例健康儿童为对照组。应用SWE检测各组治疗前及手术组治疗后1周、2周、1个月,以及保守组治疗1周、2周、1个月睾丸、附睾头弹性模量值,比较各组上述参数的差异。结果治疗前,手术组及保守组睾丸、附睾头弹性模量值均高于对照组,差异均有统计学意义(均P<0.05);手术组与保守组比较差异无统计学意义。手术组治疗后1周、2周及1个月睾丸、附睾头弹性模量值均低于治疗前(均P<0.05);且与对照组比较差异均无统计学意义。保守组治疗1周附睾头弹性模量值及治疗2周、1个月睾丸、附睾头弹性模量值均低于治疗前,但治疗1周睾丸、附睾头弹性模量值及治疗2周睾丸弹性模量值仍高于对照组,差异均有统计学意义(均P<0.05);治疗2周及1个月睾丸、附睾头弹性模量值均低于治疗1周,治疗1个月睾丸弹性模量值低于治疗2周,差异均有统计学意义(均P<0.05);治疗2周附睾头弹性模量值及治疗1个月睾丸、附睾头弹性模量值与对照组比较差异均无统计学意义。手术组治疗后1周睾丸及附睾头弹性模量值、治疗后2周睾丸弹性模量值均低于保守组相应时间点,差异均有统计学意义(均P<0.05);手术组治疗后1个月睾丸、附睾头弹性模量值与保守组相应时间点比较,差异均无统计学意义。结论SWE可定量评估儿童睾丸附件扭转致睾丸-附睾炎不同治疗方法的治疗效果,为临床选择治疗方式提供了客观的影像学指标。Objective To explore the therapeutic effect of different treatments of testicular epididymitis caused by testicular appendage torsion in children by shear wave elastography(SWE).Methods A total of 90 children with testicular epididymitis caused by testicular appendage torsion were collected and divided into operation group(40 cases)and conservative group(50 cases)according to the treatment method.Additionally,50 healthy children were selected as the control group.Elastic modulus values of testis and epididymal head were measured before treatment and 1 week,2 weeks and 1 month after treatment in operation group and treatment for 1 week,2 weeks and 1 month in conservation group.Differences of elastic modulus values of testis and epididymal head were compared among the groups.Results Before treatment,the elastic modulus values of testis and epididymal head in operation group and conservative group were higher than those in control group,and the differences were statistically significant(all P<0.05).There were no statistically significant differences between the operation group and conservative group.In operation group,the elastic modulus values of testis and epididymal head significantly decreased at 1 week,2 weeks and 1 month after treatment compared with those before treatment(all P<0.05),and there were no statistically significant differences compared with those in control group.In conservative group,the elastic modulus values of the epididymal head at 1 week of treatment,and testis and epididymal head at 2 weeks and 1 month of treatment significantly decreased compared with those before treatment(all P<0.05).However,the elastic modulus values of the testis and epididymal head at 1 week of treatment remained higher than those in the control group,and the differences were statistically significant(all P<0.05).The elastic modulus values of the testis and epididymal head at 2 weeks and 1 month of treatment decreased compared with those at 1 week of treatment,and the elastic modulus value of the testis at 1 month of

关 键 词：剪切波弹性成像 睾丸附件扭转 睾丸-附睾炎 治疗效果 

分 类 号：R445.1[医药卫生—影像医学与核医学] R697.22[医药卫生—诊断学]