摘要
目的 探讨进行检查 ,并对其高频彩色多普勒超声对睾丸坏死的诊断价值。方法 使用探头频率为 5～ 10MHz的超声仪 ,对 17例患者的坏死睾丸进行检查 ,并对其超声表现进行分析。与其中 11例施行手术治疗者的病理结果对照 ,并对其余接受保守治疗者进行超声随访。结果 17例睾丸坏死中 ,弥漫性坏死 11例 ,局灶性坏死 6例。精索扭转所致坏死 8例 ,外伤所致坏死 6例 ,急性炎症所致坏死 3例。“镯环征”和“镶嵌征”是精索扭转引起睾丸坏死的特有声像图表现。附睾肿胀伴发睾丸低回声无血供团块 ,提示睾丸局灶性坏死的可能。结论 高频彩色超声能够对睾丸坏死的发生与发展做出判断 。
Objective To study the value of diagnosing of testicular necrosis by high frequency color Doppler ultrasound.Methods The ultrasonic appearances in 17 cases of testicular necrosis were retrospectively analyzed.Aloka 650/1200/5500 and Acuson 128XP/10 ultrasound scanner with 5～10 MHz transducer were used.Eleven patients underwent surgery.The conservative treatment and follow up ultrasound were performed in other cases.Results Of the 17 cases with testicular necrosis,11 cases were entire necrosis of testis,6 cases were focal necrosis.Testicular necrosis was caused by spermatic cord torsion in 8 of 17 cases,by trauma in 6 cases and by acute epididymitis in 3 cases.The bracelet ring sign and the inlay sign were the particular sonographic appearance of testicular necrosis caused by spermatic cord torsion.In indicated the likelihood of the focal testicular necrosis that an intratesticular mass with a hypoecho,naught blood flow pattern as well as heterogeneity and enlargement of the epididymis.Conclusions High frequency color Doppler ultrasound is capable of assessing on the occurrenced and the progress of testicular necrosis.
出处
《中华超声影像学杂志》
CSCD
2001年第8期483-485,共3页
Chinese Journal of Ultrasonography
