附睾炎和附睾-睾丸炎的彩色多普勒诊断

目的：应用彩色多普勒诊断急性附睾炎、睾丸炎和慢性附睾炎，方法：81例急性附睾炎、睾丸炎和慢性附睾炎均进行了彩色多普勒检查，主要观察二维声像图和彩色多普勒血流图的特征并与健侧附睾和睾丸作对比。结果：75例是急性附睾炎，其中有5例同时伴有睾丸炎，6例是慢性附睾炎，71例有不同程度的鞘膜积液。附睾头部肿大，白膜明显增厚。彩色多普勒显示血流明显增加为诊断依据。结论：彩色多普勒诊断附睾炎或睾丸炎是一种十分有效的影像学诊断工具。

Diagnostic Color Doppler US in Epididymitis and Epididymo-Orchitis

Objective To diagnose epididymitis, epididymo orchitis and chronic epididymitis with color Doppler. Methods 81 patients with epididymitis, orchitis and chronic epididymitis were performed by color Doppler US. The features of sonography and color Doppler flow image were obtained in the scrotum as compare with absymptomatic epididymis and testes. Results 75 patients including 5 cases with epididymo orchitis were epididymitis. 6 cases were chronic epididymitis. The different degree of hydroceles occur in 71 cases. Sonography characteristically demonstrates thickening and enlargement of the epididymis, most commonly involving the head. The associated skin thickening may be seen. Conclusion Color Doppler US is effective image tool to diagnose epididymitis and epididymo orchitis.