彩色多普勒超声在急性阴囊肿痛诊断中的应用

目的评价彩色多普勒超声(CD)在急性阴囊肿痛诊断及鉴别诊断中的应用价值。方法应用CD对53例急性阴囊肿痛患者进行急诊检查。观察阴囊内容物的形态、回声、结构及血流变化。经手术或临床治疗随访证实诊断。结果53例阴囊急症中,37例经非手术治疗及超声随访证实诊断,16例经手术及病理确诊。CD诊断准确率98%(52/53)。其中,睾丸扭转92%(12/13),睾丸、附睾炎100%(28/28),阴囊外伤100%(9/9),阴囊皮肤感染100%(3/3)。结论CD不仅能够区别睾丸扭转和炎症,并能鉴别肿瘤与炎症,还可评价阴囊外伤的程度及预后,因而它可作为诊断急性阴囊肿痛的首选方法。

Application of color Doppler sonography in the diagnosis of acute scrotal swelling and pain

Objective To evaluate the applied value of color Doppler ultrasound(CDUS)in the diagnosis of acute scrotal swelling and pain.Methods Fifty- three patients with acute scrotal swelling and pain underwent the examinations of CDUS.The shape,echo,texture and blood flow of the scrotal contents were observed for each patient .The diagnosis was ultimately confirmed by means of surger(n=16) and conservative treatment (n=37),respectively.Results The accuracy of CDUS for diagnosing the acute scrotal swelling and pain was 98 % ,such as testicular torsion was 92 % (12/13).testicular inflammation(orchitis,epididymitis) was 100 % (28/28),scrotal trauma was 100 % (9/9),and scrotal skin infection was 100 % (3/3).Conclusion CDUS cannot only differentiate testicular torsion from acute inflammation can also differentiate testicular tumor from focal orchitis,simultaneously,it is helpful to assess the severity and prognosis of scrotal trauma so that it should be the optimal means of diagnosing acute scrotal swelling and pain.