摘要
目的研究彩色多普勒超声(color Doppler ultrasound,CDUS)和超声造影(contrast-enhanced ultrasound,CEUS)在青少年睾丸扭转诊断中的价值。方法选择我院从2019年7月~2023年11月收治的41例青少年单侧睾丸扭转患者,先行二维超声及CDUS,记录两侧睾丸大小、内部回声、彩色多普勒血流显像(color Doppler flow imaging,CDFI)分级并得出诊断;后进行CEUS检查,记录两侧睾丸造影剂分布区域及增强强度并得出诊断;分为睾丸完全扭转(n=15)和睾丸不完全扭转(n=26)两组分别比较两种方法的诊断准确率。结果CDUS和CEUS诊断睾丸完全扭转的准确率均为100%(15/15),差异无统计学意义(P>0.05)。CEUS诊断睾丸不完全扭转的准确率为100%(26/26),CDUS的准确率为76.92%(20/26),差异有统计学意义(P<0.05)。结论CDUS和CEUS诊断青少年睾丸完全扭转均具有较高的准确率,而CEUS对诊断睾丸不完全扭转具有更高的准确率及更精准的血流显像。
Objective To study the value of color Doppler ultrasound(CDUS)and contrast-enhanced ultrasound(CEUS)in the diagnosis of testicular torsion in adolescents.Methods Forty-one adolescent patients with unilateral testicular torsion treated in our hospital from July 2019 to November 2023 were selected.Initial examinations were performed using two-dimensional ultrasound and CDUS,the size and internal echo of both testicles,color Doppler flow imaging(CDFI)grading,and obtain diagnosis preliminary were recorded.Subsequently,CEUS was performed,the distribution area and enhancement intensity of contrast agents in both testicles were noted to reach a final diagnosis.Patients were divided into two groups,complete(n=15)and incomplete(n=26)testicular torsion,the diagnostic accuracy of both methods were compared.Results The accuracy of CDUS and CEUS in diagnosing complete testicular torsion was 100%(15/15),with no significant statistical difference between the two groups.The ac-curacy of CEUS in diagnosing incomplete testicular torsion was 100%(26/26),while that of CDUS was 76.92%(20/26),showing a significant statistical difference(P<0.05).Conclusion Both CDUS and CEUS demonstrate high accuracy in diagnosing complete testicular torsion in adolescents.However,CEUS shows higher accuracy and more precise blood flow imaging in the diagnosis of incomplete testicular torsion.
作者
周巧娟
张宇驰
周闪
茆飞
牛晓兵
徐明
陈静
ZHOU Qiao-juan;ZHANG Yu-chi;ZHOU Shan;MAO Fei;NIU Xiao-bing;XU Ming;CHEN Jing(Department of Ultrasound,The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,China;Department of Urology,The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,China)
出处
《哈尔滨医科大学学报》
CAS
2024年第4期446-449,456,共5页
Journal of Harbin Medical University
基金
江苏省自然科学基金资助项目(BK20211131)。
关键词
睾丸扭转
超声造影
彩色多普勒超声
testicular torsion
contrast-enhanced ultrasound
color Doppler ultrasound
