摘要
目的观察小儿急性睾丸附件扭转疾病的超声表现,并分析其诊断价值。方法回顾性分析医院2017年2月~2019年8月接收的有类似急性睾丸附件扭转表现小儿的病例资料,共纳入161例。纳入者均实施彩色多普勒超声检查,均有"金标准"结果。统计超声表现及超声检查结果。结果本组纳入者中共有88例小儿急性睾丸附件扭转,45例急性附睾炎,28例急性睾丸扭转,超声诊断与"金标准"的符合率分别为97.73%、97.78%、96.43%。超声诊断小儿急性睾丸附件扭转的灵敏度、特异度、准确度、阳性预测值、阴性预测值分别为97.73%、97.26%、97.52%、97.73%、97.26%。急性睾丸附件扭转的主要超声表现:睾丸上极与附睾头之间或睾丸周围不均匀高回声结节,睾丸附睾增大,部分睾丸鞘膜腔内可有液性暗区,阴囊壁呈局限性增厚;彩色多普勒血流图(CDFI)显示高回声结节内无明显血流信号,增大的睾丸附睾内血流信号增多、血流阻力下降、流速加快。结论小儿急性睾丸附件扭转的超声检查有特征性表现,可准确鉴别诊断。
Objective To observe the ultrasonic manifestations of acute testicular adnexal torsion in children and explore its diagnostic value.Methods Clinical data of 161 children with acute testicular adnexal torsion who received treatment in our hospital from February 2017 to August 2019 were retrospectively analyzed.All the patients were examined by color Doppler ultrasound,and all of them had"gold standard"results.The ultrasonic manifestations and results of ultrasonic examination were comparatively analyzed.Results There were 88 children with acute testicular adnexal torsion,45 cases of epididymits and 28 cases of testicular torsion.The coincidence rate of ultrasound diagnosis and"gold standard"were97.73%、97.78%、96.43%.The sensitivity,specificity,accuracy,positive predictive value and negavite predictive value of ultrasonography in the diagnosis of acute testicular adnexal torsion in children were 97.73%、97.26%、97.52%、97.73%、97.26%.The main ultrasonic manifestations of acute testicular adnexal torsion were:uneven hyperechoic nodules between the upper pole of testis and the head of epididymis or the peripheral area of testis,enlargrd epididymis,hydrocele in the tunica vaginalis cavity and local thickening of the scrotum wall.Color Doppler flow imaging(CDFI)showed no obvious blood flow signal was found in the ganglion,enlargement of testis,increase of blood flow signal and speed,decrease of blood flow resistance and phperechoic nodule in epididymis.Conclusion There were typical ultrasonic manifestations of acute esticular adnexal torsion in children,which can be accurately differentiated and diabnosed.
作者
张洁
胡春峰
陈玉龙
杜建侠
董娟
Zhang Jie;Hu Chunfeng;Chen Yulong;Du Jianxia;Dong Juan(Xuzhou Children's Hospital Affiliated to Xuzhou Medical University,Xuzhou,Jiangsu 221000;Department of Medical Imaging,the Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221000)
出处
《中国男科学杂志》
CAS
CSCD
2021年第1期38-41,共4页
Chinese Journal of Andrology
