| 蒋海燕,许云峰,吴伟.彩色多普勒超声诊断和鉴别诊断小儿睾丸扭转[J].中国医学影像技术,2011,27(11):2303~2306 |
| 彩色多普勒超声诊断和鉴别诊断小儿睾丸扭转 |
| Color Doppler ultrasonic diagnosis and differential diagnosis of testicular torsion in children |
| 投稿时间：2011-05-27 修订日期：2011-08-01 |
| DOI： |
| 中文关键词: 超声检查 睾丸扭转 儿童 诊断,鉴别 |
| 英文关键词:Ultrasonography Spermatic cord torsion Child Diagnosis, differential |
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| 中文摘要: |
| 目的 评估彩色多普勒超声诊断及鉴别诊断小儿睾丸扭转的价值。 方法 回顾分析因急性阴囊肿痛而接受彩色多普勒超声检查的125例患儿的声像图特征,并与手术病理、临床最终诊断相比较。 结果 125例中,急性睾丸扭转14例,超声诊断符合率92.86%(13/14),均接受手术治疗,其中11例睾丸完全坏死切除,CDFI显示睾丸内无明显血流信号,3例手术复位后睾丸存活,CDFI示睾丸内有少量血流信号;急性睾丸附件扭转68例,睾丸上极或与附睾间见回声不均质结节,内无血流信号,超声诊断符合率97.06%(66/68);急性附睾炎43例,附睾内血流信号明显增多,超声诊断符合率100%(43/43)。 结论 彩色多普勒超声对小儿睾丸扭转具有较高的诊断及鉴别诊断价值,是临床首选的影像检查方法。 |
| 英文摘要: |
| Objective To investigate the value of color Doppler ultrasound for diagnosing and differentiating testicular torsion in children. Methods The ultrasonic features of 125 children with acute scrotum pain and swelling were analyzed retrospectively, and compared with pathology and final diagnosis. Results Among 125 children, 14 were acute testicular torsion, the accordance rate of ultrasound was 92.86% (13/14). All the 14 cases underwent operation, and 11 testicles were removed for completed necrosis who had absent flow in the affected testicle in CDFI, while only 3 testicles were salvaged by operative detorsion who had some flow in the affected testicle in CDFI. Sixty-eight cases were torsion of testicular appendages, the accordance rate of ultrasonic diagnosis was 97.06% (66/68), who had uneven echo nodular on the upper pole of testis or between the head of epididymis and without blood flow. Forty-three cases were acute epididymitis, the accordance rate of ultrasonic diagnosis was 100% (43/43), who had abundant flow in the affect epididymis. Conclusion Color Doppler ultrasound is an optimal method in the diagnosis and differential diagnosis of testicular torsion in children. |
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